inforMED
MalfunctionGDM

HAWKINS III BLN (BREAST LOCALIZATION NEEDLE)

Received Oct 20, 2016 · Event occurred Jun 9, 2014

Report 1625425-2016-00070 · MDR key 6045799

Device

Generic name

Breast Localization Needle

Catalog number

244100

Lot number

UNKNOWN

Product problems

  • Material Fragmentation

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT AVAILABLE FOR RETURN; THEREFORE, NO DEVICE EVALUATION COULD BE CONDUCTED. THE LOT NUMBER WAS NOT PROVIDED. WITHOUT A SAMPLE TO EVALUATE OR A LOT NUMBER AVAILABLE TO CONDUCT DEVICE HISTORY RECORD REVIEWS, A ROOT CAUSE CANNOT BE ESTABLISHED. (B)(4).

Description of Event or Problem

THE TIP OF THE HAWKINS GUIDEWIRE FRAGMENTED AND WAS RETAINED WITHIN A PATIENT'S BREAST. THE V SHAPE OF THE GUIDEWIRE TIP CONTRIBUTED TO NOT DETECTING FRAGMENTATION ON THE SPECIMEN X-RAY. THE PATIENT REQUIRED FURTHER SURGERY TO TO HAVE THE TIP OF THE GUIDEWIRE REMOVED FROM THEIR BREAST.