FDA Adverse Event
Malfunction
Summary report: N
TRUNODE SURGICAL GAMMA PROBE
MDR report key: 20199440
·
Received September 12, 2024
Report
- Report Number
- 20199440
- Event Type
- Malfunction
- Date Received
- September 12, 2024
- Date of Event
- August 21, 2024
- Report Date
- August 21, 2024
- Manufacturer
- HOLOGIC SURGICAL PRODUCTS COSTA RICA, S.R.L.
- Product Code
- IZD
- UDI-DI
- 15420045512856
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
OVER 60-YEAR-OLD FEMALE WITH RECENT HISTORY OF BREAST CANCER. PROCEDURE: LEFT BREAST REFLECTOR LOCALIZED LUMPECTOMY WITH SENTINEL LYMPH NODE BIOPSY, POSSIBLE AXILLARY DISSECTION. TRINODE PROBE WOULD NOT CALIBRATE WITH UNIT. ANOTHER PROBE USED SUCCESSFULLY. NO KNOWN HARM TO PATIENT. MANUFACTURER RESPONSE FOR PROBE, UPTAKE, NUCLEAR, TRUNODE SURGICAL GAMMA PROBE (PER SITE REPORTER) WILL OBTAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 575137 | TRUNODE SURGICAL GAMMA PROBE | PROBE, UPTAKE, NUCLEAR | IZD | HOLOGIC SURGICAL PRODUCTS COSTA RICA, S.R.L. | 120-807605 | 24D26R | 15420045512856 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Female |