GHIATAS LOCALIZATION WIRE
Received Jan 20, 2020
Report 2020394-2020-00655 · MDR key 9607032
Device
Generic name
Breast Localization Wire
Manufacturer
Bard Peripheral Vascular, Inc.Model number
479201Catalog number
479201
Lot number
REBW1089
Product problems
- Signal Artifact/Noise
- Signal Artifact/Noise
Patient
Not reported
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Additional Manufacturer Narrative
THE LOT NUMBER WAS PROVIDED FOR THE ONE MALFUNCTION; THEREFORE, A LOT HISTORY REVIEW IS CURRENTLY BEING PERFORMED. THE DEVICE WAS RETURNED FOR EVALUATION AND THE COMPANY IS STILL INVESTIGATING THE ISSUE AT THIS TIME.
Description of Event or Problem
THIS REPORT SUMMARIZES THE ONE MALFUNCTION. A REVIEW OF THE REPORTED INFORMATION INDICATED THAT MODEL 479201 BREAST LOCALIZATION WIRE ALLEGEDLY EXPERIENCED SIGNAL ARTIFACT. THIS INFORMATION WAS RECEIVED FROM ONE SOURCE. OF THE ONE SIGNAL ARTIFACT, ONE INVOLVED A PATIENT WITH NO PATIENT CONSEQUENCES. THE PATIENT INFORMATION WAS NOT PROVIDED.
Additional Manufacturer Narrative
H10: THE LOT NUMBER WAS PROVIDED FOR THE MALFUNCTION, AND A LOT HISTORY REVIEW WAS PERFORMED. THE SAMPLE WAS RETURNED FOR EVALUATION AND IMAGES WERE PROVIDED FOR REVIEW. THE COMPANY IS STILL INVESTIGATING THE ISSUE AT THIS TIME. THE DEVICE WAS LABELED FOR SINGLE USE. H10: G4 H11: B5 H11:SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD 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 BD.
Description of Event or Problem
THIS REPORT SUMMARIZES THE ONE MALFUNCTION. A REVIEW OF THE REPORTED INFORMATION INDICATED THAT MODEL 479201 BREAST LOCALIZATION WIRE ALLEGEDLY EXPERIENCED SIGNAL ARTIFACT. THIS INFORMATION WAS RECEIVED FROM ONE SOURCE. THIS MALFUNCTION INVOLVED A PATIENT WITH NO CONSEQUENCES. THE PATIENT'S AGE, WEIGHT, AND GENDER WERE NOT PROVIDED.
Description of Event or Problem
THIS REPORT SUMMARIZES THE ONE MALFUNCTION. A REVIEW OF THE REPORTED INFORMATION INDICATED THAT MODEL 479201 BREAST LOCALIZATION WIRE ALLEGEDLY EXPERIENCED SIGNAL ARTIFACT. THIS INFORMATION WAS RECEIVED FROM ONE SOURCE. THIS MALFUNCTION INVOLVED A PATIENT WITH NO CONSEQUENCES. THE PATIENT'S AGE, WEIGHT, AND GENDER WERE NOT PROVIDED.
Additional Manufacturer Narrative
H10: THE LOT NUMBER WAS PROVIDED FOR THE MALFUNCTION, AND A LOT HISTORY REVIEW WAS PERFORMED. THE SAMPLE WAS RETURNED FOR EVALUATION AND IMAGES WERE PROVIDED FOR REVIEW. BASED ON THE IMAGE REVIEW, THE INVESTIGATION IS CONFIRMED FOR THE REPORTED IMAGING ARTIFACT. BASED UPON THE AVAILABLE INFORMATION, THE DEFINITIVE ROOT CAUSE FOR THIS EVENT IS UNKNOWN. THE DEVICE WAS LABELED FOR SINGLE USE. H11:SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD 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 BD.