inforMED
MalfunctionGDF

ATEC INTRODUCER LOCALIZATION SET SURESIGHT

Received Jul 1, 2015 · Event occurred Jun 8, 2015

Report 1222780-2015-00121 · MDR key 4902330

Device

Manufacturer

Hologic

Model number

0914-20-OB

Catalog number

ILS 0914-20-OB

Lot number

412575

Product problems

  • Detachment Of Device Component
  • Component Falling

Patient

UNK

  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A PHYSICIAN PERFORMED AN ATEC BREAST BIOPSY PROCEDURE ON (B)(6) 2015. "WHEN THE PHYSICIAN REMOVED THE SECOND OBTURATOR THE CLEAR PIECE OF IT CAME OFF AND REMAINED IN THE PATIENT'S BREAST". THE CLEAR PIECE REMAINED INSIDE THE PATIENT AS THE PATIENT WAS GOING TO HAVE SURGERY SOON AFTER THE BIOPSY PROCEDURE. THE PATIENT WAS DISCHARGED HOME WITH NO ADVERSE CONSEQUENCES.

Additional Manufacturer Narrative

DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED FOR THE REPORTED LOT NUMBER. THE LOT WAS RELEASED MEETING ALL QA SPECIFICATIONS. CURRENTLY UNABLE TO ESTABLISH A RELATIONSHIP OR IMPACT TO THE REPORTED OBSERVATION. (B)(4).