FDA Adverse Event
Malfunction
Summary report: N
TUMARK® PROFESSIONAL Q FOR EVIVA® STANDARD
MDR report key: 21941184
·
Received May 1, 2025
Report
- Report Number
- 21941184
- Event Type
- Malfunction
- Date Received
- May 1, 2025
- Date of Event
- December 10, 2024
- Report Date
- April 24, 2025
- Manufacturer
- SOMATEX MEDICAL TECHNOLOGIES GMBH
- Product Code
- NEU
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
CLIP WOULD NOT DEPLOY. (THERE ARE TWO SIMILAR MEDSUN REPORTS RECENTLY FILED FOR THIS EQUIPMENT. THEY ARE SEPARATE EVENTS. THE DEVICE MALFUNCTION WAS THE SAME FOR BOTH EVENTS).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1071686 | TUMARK® PROFESSIONAL Q FOR EVIVA® STANDARD | MARKER, RADIOGRAPHIC, IMPLANTABLE | NEU | SOMATEX MEDICAL TECHNOLOGIES GMBH | TUMARK-E13-S-Q-02 | 53055 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |