GEL MARK ULTRA BREAST TISSUE MARKER
Received Apr 17, 2018 · Event occurred Oct 1, 2014
Report 2020394-2018-00400 · MDR key 7438655
Device
Generic name
Implantable Clip
Manufacturer
Bard Peripheral Vascular, Inc.Model number
GMUEC10GSSCatalog number
GMUEC10GSS
Lot number
UNK
Product problems
- Patient-Device Incompatibility
- Patient-Device Incompatibility
Patient
Not reported
- Urticaria
- Urticaria
Narrative
Additional Manufacturer Narrative
AS THE LOT NUMBER FOR THE DEVICE WAS NOT PROVIDED, A MANUFACTURING REVIEW COULD NOT BE PERFORMED. THE SAMPLE WAS NOT RETURNED TO THE MANUFACTURER FOR INSPECTION/EVALUATION. THEREFORE, THE INVESTIGATION OF THE REPORTED EVENT IS INCONCLUSIVE. BASED UPON THE AVAILABLE INFORMATION, THE DEFINITIVE ROOT CAUSE FOR THIS EVENT IS UNKNOWN. THE INSTRUCTIONS FOR USE (IFU) IS ADEQUATE AND PROVIDES GENERAL INSTRUCTIONS FOR USE, AS WELL AS WARNINGS, PRECAUTIONS AND POTENTIAL COMPLICATIONS ASSOCIATED WITH THE DEVICE. UPON RECEIPT OF NEW OR ADDITIONAL INFORMATION, A FOLLOW-UP REPORT WILL BE SUBMITTED AS APPLICABLE. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
Description of Event or Problem
IT WAS REPORTED THAT POST PLACEMENT OF A BREAST TISSUE MARKER, THE PATIENT ALLEGEDLY HAD EPISODES OF IDIOPATHIC URTICARIA. THERE WAS NO REPORTED PATIENT INJURY.