FDA Adverse Event Malfunction Summary report: N

SENOMARK BREAST BIOPSY MARKER

MDR report key: 3170557 · Received May 28, 2013

Report

Report Number
2020394-2013-00173
Event Type
Malfunction
Date Received
May 28, 2013
Date of Event
February 7, 2013
Report Date
April 30, 2013
Manufacturer
BARD PERIPHERAL VASCULAR, INC.
Product Code
NEU
PMA / PMN Number
K050090
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE LOT NUMBER WAS NOT PROVIDED; THEREFORE, THE DEVICE HISTORY RECORDS COULD NOT BE REVIEWED. THE INVESTIGATION IS CURRENTLY UNDERWAY.

Description of Event or Problem · 1

IT WAS REPORTED THAT A COUPLE OF DAYS AFTER A STEREOTACTIC BREAST BIOPSY HAD BEEN PERFORMED AND A BREAST TISSUE MARKER WAS IMPLANTED, THE PT PRESENTED WITH PAIN AND EDEMA AT THE SITE OF THE BIOPSY. ANTIBIOTIC TREATMENT WAS PRESCRIBED. THE PT IS REPORTED TO BE DOING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
233086 SENOMARK BREAST BIOPSY MARKER NEU BARD PERIPHERAL VASCULAR, INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 ENCOR BIOPSY PROBE