FDA Adverse Event
Malfunction
Summary report: N
BIOPSYS MARKER CLIP WITH INTRODUCER
MDR report key: 200098
·
Received December 1, 1998
Report
- Report Number
- 1527736-1998-03803
- Event Type
- Malfunction
- Date Received
- December 1, 1998
- Date of Event
- November 4, 1998
- Report Date
- November 5, 1998
- Manufacturer
- BIOPSYS MEDICAL, INC.
- Product Code
- KNW
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THE DEVICE WAS USED DURING A BREAST BIOPSY. IT WAS REPORTED THE MARKER SLEEVE HAD SHEARED OFF IN THE BREAST. THE MARKER HAS BEEN LEFT IN THE BREAST. THE CASE WAS COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BIOPSYS MARKER CLIP WITH INTRODUCER | BIOPSYS | KNW | BIOPSYS MEDICAL, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |