FDA Adverse Event Malfunction Summary report: N

IP BIOPSY CASSETTE II, TAPED, PINK

MDR report key: 23491128 · Received November 6, 2025

Report

Report Number
1419341-2025-00038
Event Type
Malfunction
Date Received
November 6, 2025
Date of Event
October 9, 2025
Report Date
November 6, 2025
Manufacturer
SIMPORT
Product Code
IDZ
UDI-DI
20849832022095
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ND, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE CUSTOMER REPORTED IP BIOPSY CASSETTE II, TAPED, PINK, P/N: 38440501, LOT: 9178512530, WHERE THE FLANGE HAS BEEN BREAKING OFF, CASSETTES OPENING DURING PROCESSING, AND TISSUE HAS BEEN LOST. TRENDING ANALYSIS FROM 17 OCT 2024 TO 17 OCT 2025 REPORTED NO (0) OTHER RELATED OCCURRENCES OF THIS ISSUE FOR THIS PRODUCT LOT. THE ROOT CAUSE FOR THE "FLANGE HAS BEEN BREAKING OFF, CASSETTES OPENING DURING PROCESSING, AND TISSUE HAS BEEN LOST" REPORTED BY THE CUSTOMER COULD NOT BE UNEQUIVOCALLY DETERMINED FROM THE INFORMATION AVAILABLE. IF ADDITIONAL INFORMATION IS RECEIVED A FOLLOW UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

ON 13 OCTOBER 2025, LEICA BIOSYSTEMS RECEIVED THE FOLLOWING INFORMATION: "ON-SITE WITH CUSTOMER ON (B)(6) 2025. MANAGER [NAME] INFORMED ME OF ISSUE WITH 38440501: IP BIOPSY CASSETTE II, TAPED, PINK. FLANGE HAS BEEN BREAKING OFF, CASSETTES OPENING DURING PROCESSING, AND TISSUE HAS BEEN LOST. ISSUE HAS OCCURRED ALL WEEK WHERE TISSUE IS BEING LOST. PER [NAME], THIS HAS OCCURRED WITH 3 DIFFERENT PAS EVEN AFTER PARTICULAR CARE IS BEING TAKEN. PAS FEEL THAT CASSETTES SEEM "SOFTER" AND MORE FRAGILE THAN PREVIOUSLY. SWITCHED TO NEW LOT# AND TAKING EXTRA PRECAUTIONS. THIS SITE IS ALSO USING THE SAME CASSETTE IN GREEN AND YELLOW, NO REPORTED ISSUES." NO ADVERSE IMPACT TO A PATIENT HAS BEEN REPORTED TO THE MANUFACTURER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1702586 IP BIOPSY CASSETTE II, TAPED, PINK CASSETTES, TISSUE IDZ SIMPORT IP BIOPSY CASSETTE II, TAPED, PINK 9178512530 20849832022095

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown