|
It was reported by the user that during a localizer procedure on (b)(6) 2025, the user experienced issues with the device "going off constantly" even when it is not near a clip.Additionally, the user reported that clip migration issues have been experienced.Malfunction mdr submitted due to reports of clip migration.The user reports four impacted devices; therefore, a separate mdr will be submitted for each device.No patient/user injury has been reported.No further information is currently available.
|
|
An investigation was conducted: it was reported by the user that during a localizer procedure on (b)(6) 2025, the user experienced issues with the device "going off constantly" even when it is not near a clip.Additionally, the user reported that clip migration issues have been experienced.Malfunction mdr submitted due to reports of clip migration.No patient/user injury has been reported.Initial evaluation: the device was returned to the post market quality laboratory for investigation.Visual inspection was conducted and there were no signs of physical damage.Investigation methods and findings: functional testing was conducted, the reader did not power on, the batteries were changed and the device did not function as expected.Therefore, the complaint can be confirmed.Cause/root cause: the complaint was confirmed based on the reader¿s inability to power on during functional testing, even after battery replacement.While the device met all acceptance criteria at the time of release per device history record (dhr) review, the observed behavior indicates a malfunction within the reader¿s internal power or electronic system.A definitive root cause could not be established based on the available evidence; however, the most probable cause is associated with a failure in the reader¿s internal power circuitry or electronic components, preventing the device from powering on as intended.Conclusion: the reported issue of inaccurate distance reading has not been confirmed; however, a reader power issue has been confirmed.A definitive root cause could not be established.The most probable root cause associated with the reader power issue is with a failure in the reader¿s internal power circuitry or electronic components, preventing the device from powering on as intended.A conclusion could not be reached regarding the report of tag migration.Capa/hra/ncr/scar are not deemed required at this moment by this event.Future events will be monitored and trended.Complaint confirmed: yes.Device history record (dhr) review: the dhr was reviewed for the corresponding lot, and no non-conformance or deviations were found.
|