FDA Adverse Event Injury Summary report: N

BREVERA BREAST BIOPSY SYSTEM

MDR report key: 20592129 · Received November 1, 2024

Report

Report Number
1222780-2024-00411
Event Type
Injury
Date Received
November 1, 2024
Date of Event
October 3, 2024
Report Date
November 1, 2024
Manufacturer
HOLOGIC, INC
Product Code
KNW
UDI-DI
15420045507760
PMA / PMN Number
K163052
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED FOR THE REPORTED LOT/SERIAL NUMBER. THE DEVICE WAS RELEASED MEETING ALL QA SPECIFICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A BREVERA PROCEDURE ON OCTOBER 3RD WHILE THE NEEDLE WAS IN THE PATIENT, THE NEEDLE FAILED TO FIRE, AND THEY REPLACED ALL NEEDLES, BUT THE ISSUE PERSISTED THUS POINTING TO THE CONSOLE. A FIELD ENGINEER EXAMINED THE EQUIPMENT, AND IT WAS DETERMINED THAT THE LOGS INDICATED DRIVER ERRORS. IT WAS RECOMMENDED TO REPLACE THE DRIVER AND SOFTWARE. A NEW DRIVER WAS INSTALLED, AND UPDATED THE CSL, OCB AND NAND SOFTWARE. PRE ANT POST FIRE WAS CHECKED, AND THE SYSTEM WAS VERIFIED AND THE SYSTEM MEETS THE MANUFACTURER'S SPECIFICATIONS. NO OTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
774203 BREVERA BREAST BIOPSY SYSTEM INSTRUMENT, BIOPSY KNW HOLOGIC, INC BREVDRV 15420045507760

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other