|
It was reported that during an atec sapphire biopsy procedure on (b)(6) 2025, the "demo atec failed during a procedure," resulting in the procedure being aborted after the needle had already been inserted into the patient.Additionally, it is reported that "the patient experienced pain due to the radiologist not being able to hear the beep notifying the end of a cutting cycle.This resulted in the possibility that the radiologist rotated the canula during a cutting cycle." it is reported that the user has received a new atec unit.No further information is currently available.
|
|
An investigation was conducted:
brief description: it was reported that on december 19th, 2025, during a procedure, the atec sapphire serial number (b)(6) failed.The customer reported "demo atec failed during a procedure," resulting in the procedure being aborted after the needle had already been inserted into the patient.Additionally, a loud noise was coming from the machine, and it was reported that "the patient experienced pain due to the radiologist not being able to hear the beep notifying the end of a cutting cycle.This resulted in the possibility that the radiologist rotated the canula during a cutting cycle.Initial evaluation: the atec system was not sent to hologic pmqa for investigation.The system was in use for approximately 11 months at the time of the complaint, based on the install date and the date of the complaint.Investigation methods and findings: the atec system was not returned to hologic¿s post market quality assurance (pmqa) team for investigation, but was instead sent to hologic¿s marlborough, ma location to be serviced by a hologic manufacturing technician as part of a system refurbishment process.Based on the report completed by the technician, there was no vacuum, and the pump would not start when the power was turned on.Cause/root cause: no further investigation could be completed into this issue since the unit was not returned to the pmqa lab.Based on the report filed by a hologic service engineer when repairing the system, the most probable root cause that can be determined could be the issue with the vacuum pump.Conclusion: the atec system was not returned to hologic¿s post market quality assurance (pmqa) team for investigation, but was instead sent to hologic¿s marlborough, ma location to be serviced by a hologic manufacturing technician as part of a system refurbishment process.Based on the report completed by the technician, there was no vacuum, and the pump would not start when the power was turned on.Future complaints will be monitored and trended for this issue.Complaint confirmed: no.Device history record (dhr) review:
system serial number: (b)(6).System sku: atec sapphire.System manufacture date: 12/31/2024.Udi: (b)(4).The device history record for the serial number involved was reviewed and was found to have met all manufacturing requirements prior to shipment for distribution.This includes final inspection and packaging inspections.
|