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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Hologic, Inc. ATEC 0914-12MR; INSTRUMENT, BIOPSY

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Hologic, Inc. ATEC 0914-12MR; INSTRUMENT, BIOPSY Back to Search Results
Model Number ATEC 0914-12MR
Medical Device Problem Code Failure to Obtain Sample (2533)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during a breast biopsy that the customer lost the samples as there was no filter in the specimen chamber.There was no reported harm and the procedure was able to be successfully completed with another device.However, customer outreach confirmed that losing the samples resulted in the "additional samples needed to be obtained by the radiologist.".
 
Additional Manufacturer Narrative
A device history record (dhr) review was conducted for the reported lot number.The device was released meeting all qa specifications.
 
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Brand Name
ATEC 0914-12MR
Common Device Name
INSTRUMENT, BIOPSY
Manufacturer (Section D)
Hologic, Inc.
250 campus drive
marlborough MA 01752
Manufacturer (Section G)
Hologic, Inc.
250 campus drive
marlborough MA 01752
Manufacturer Contact
sarah lawlor
250 campus drive
marlborough, MA 01752
MDR Report Key50045701
Report Number1222780-2026-00460
Device Sequence Number9461995
Product Code KNW
UDI-Device Identifier15420045504899
UDI-Public(01)15420045504899(17)280524(10)E26E25RA
Combination Product (Y/N)N
Initial Reporter StateMD
Initial Reporter CountryUS
PMA/510(K) Number
K042290
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/27/2026
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 NumberATEC 0914-12MR
Device Catalogue NumberATEC 0914-12MR
Device Lot NumberE26E25RA
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/01/2026
Initial Report FDA Received Date07/27/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/25/2026
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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