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