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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Hologic, Inc. ATEC 0914-20MR; INSTRUMENT, BIOPSY

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Hologic, Inc. ATEC 0914-20MR; INSTRUMENT, BIOPSY Back to Search Results
Model Number ATEC 0914-20MR
Medical Device Problem Code Failure to Obtain Sample (2533)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/04/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported by the user site that, "there was no suction at the time of "[the]" biopsy."[we]" had to dispose the needle and use a new one." additional information was obtained from the user site in which it was confirmed that "a new needle package was opened and used." the user further reported that "there was a new needle insertion at the site of the biopsy." no patient/user harm was reported.
 
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 0914-20MR
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
dara smithers
600 technology dr
newark, DE 19702
MDR Report Key50841356
Report Number1222780-2026-00612
Device Sequence Number10263299
Product Code KNW
UDI-Device Identifier15420045504899
UDI-Public(01)15420045504899(17)280706(10)E26G07RF
Combination Product (Y/N)N
Initial Reporter StateCA
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 Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 09/21/2026
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 0914-20MR
Device Catalogue NumberATEC 0914-20MR
Device Lot NumberE26G07RF
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/04/2026
Initial Report FDA Received Date09/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/07/2026
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 Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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