FDA Adverse Event Other Summary report: N

ATEC TRIMARK BIOPSY SITE IDENTIFICATION SYSTEM

MDR report key: 2483069 · Received March 5, 2012

Report

Report Number
3003862400-2012-00002
Event Type
Other
Date Received
March 5, 2012
Date of Event
August 26, 2010
Report Date
March 5, 2012
Manufacturer
HOLOGIC INC
Product Code
NEU
PMA / PMN Number
K023450
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE DISTAL END OF THE DEPLOYMENT DEVICE (STAINLESS STEEL) OF AN ATEC TRIMARK BIOPSY SITE TISSUE MARKER DEVICE SEPARATED FROM THE DEPLOYMENT DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATEC TRIMARK BIOPSY SITE IDENTIFICATION SYSTEM TRIMARK TD 3609 NEU HOLOGIC INC ATEC TRIMARK TD3609 908068

Patients

Seq Age Sex Outcome Treatment
1