MAUDE Adverse Event Report: HOLOGIC, INC MYOSURE REACH TISSUE REMOVAL DEVICE; HYSTEROSCOPE (AND ACCESSORIES)

Model Number	10-401FC
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Fever (1858)
Date of Event	01/07/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that the patient underwent myosure, sonata and novasure procedure on (b)(6) 2026.Post the procedures, the patient went to the emergency a few days later after the procedure due to fever.Patient is back home and is doing well and fever is gone.During a peer to peer consultation request additional information was received for the cases.It was reported that a patient received a concomitant procedure (novasure, myosure and sonata) on a patient, physician reported that the treated fibroids were 4 and 5 cm type 2 miomas possible type 1, that required rescetion prior to the treatment with sonata.The patient later presented to the emergency room with fever.Patient received an ultrasound and was started on keflex and metronidazole.The treating physician later changed the medication to augmentin.Patient had no objective signs of infection but was spiking fevers in the middle of the night without taking any medication.Patient complained of watery discharge.Physician reported that the watery discharged that lasts for several weeks is not uncommon with radiofrequency abvlation for submucosal fibroids and is usually not associated with fever chills or elevated white blood count.The presence of fever and chills was indicative of infection or potential abscess.Patient received a pre-op endometrial biopsy which was bengign and had a dilation and curettage at the time of the sonata procedure that showed hyperplasia without atypia.Patient discussed with treating physician the possibility of hysterectomy but due to the existing conditions it was recommended to wait 6 weeks.No other information available.
Additional Manufacturer Narrative
Lot number of the device not provided by the complainant; therefore, the udi, expiration and manufacturing dates are not known.Device history record (dhr) review was unable to be conducted for the disposable device as the identification numbers were not provided by the complainant.The device involved in this event was not returned for evaluation purposes therefore visual and functional analysis of the product could not be performed.We are unable to confirm a relationship between the device and the issue reported.The information obtained during complaint investigation will be included in our global complaint trending and product surveillance will continue to monitor complaints of this type for adverse trends.If the product is received or additional information is obtained, the investigation will be reopened accordingly per standard operating procedure.

• Brand Name: MYOSURE REACH TISSUE REMOVAL DEVICE
• Common Device Name: HYSTEROSCOPE (AND ACCESSORIES)
• Manufacturer (Section D): HOLOGIC, INC; 250 campus drive; marlborough MA 01752
• Manufacturer (Section G): HOLOGIC, INC.; 250 campus drive; marlborough MA 01752
• Manufacturer Contact: daniel guevara ; 562 parkway; coyol free park zone b24; alajuela 20102 ; CR 20102
• MDR Report Key: 24307588
• Report Number: 1222780-2026-00050
• Device Sequence Number: 17459351
• Product Code: HIH
• UDI-Device Identifier: 15420045504530
• UDI-Public: 15420045504530
• Combination Product (Y/N): N
• Initial Reporter State: AZ
• Initial Reporter Country: US
• PMA/510(K) Number: K152723
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility,Company Representative
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 02/10/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: 10-401FC
• Device Catalogue Number: 10-401FC
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/14/2026
• Initial Report FDA Received Date: 02/10/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other; Hospitalization
• Patient Sex: Unknown