FDA Adverse Event Malfunction Summary report: N

VIVID S6

MDR report key: 10583284 · Received September 24, 2020

Report

Report Number
9615849-2020-00002
Event Type
Malfunction
Date Received
September 24, 2020
Date of Event
July 25, 2020
Report Date
November 24, 2020
Manufacturer
G.E MEDICAL SYSTEMS ISRAEL LTD.
Product Code
IYN
PMA / PMN Number
K121063
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

GEHC'S INVESTIGATION HAS COMPLETED. THE VIVID S6 DIAGNOSTIC ULTRASOUND SYSTEM WAS REPLACED TO CORRECT THE ISSUE. THE FAILED COMPONENT, THE LITHIUM BATTERY, WAS EVALUATED TO DETERMINE ROOT CAUSE OF THE SMOKE AND/OR SMOLDERING. IT IS CONCLUDED THE MOST PROBABLE ROOT CAUSE IS A FAILURE WITHIN A LITHIUM ION CELL WHICH CAUSED THE BATTERY TO FAIL AND LED TO THERMAL RUNAWAY. THERE WERE NO OPEN FLAMES OR FIRE OR RISK OF TOXIC EFFECTS DUE TO THE CONSTRUCTION AND MATERIALS THAT CONFORM TO SAFETY STANDARDS. THE RISK FILE WAS EVALUATED AND IT IS CONCLUDED THAT MITIGATIONS ARE APPROPRIATE AND SUFFICIENT. ADDITIONALLY, THE COMPLAINT FILE WAS REVIEWED AND IT IS CONCLUDED THERE ARE NO TRENDS OF LITHIUM ION CELL FAILURES. THEREFORE, GEHC HAS CONCLUDED NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Additional Manufacturer Narrative · 1

UDI: DEVICE WAS MANUFACTURED IN 2012 AND THERE IS NO UDI. THE INITIAL REPORTER IS LOCATED OUTSIDE THE U.S., AND THEREFORE THIS INFORMATION IS NOT PROVIDED DUE TO COUNTRY PRIVACY LAWS. LEGAL MANUFACTURER: (B)(4). GE HEALTHCARE'S INVESTIGATION IS ON-GOING AT THIS TIME.

Description of Event or Problem · 1

A CUSTOMER OBSERVED A LITTLE BIT OF SMOKE COMING OUT OF THE VIVID S6 ULTRASOUND SYSTEM. THERE WAS NO OPEN FIRE, AND A FOAM EXTINGUISHER WAS USED TO EXTINGUISH THE SMOKE. THE CUSTOMER REPORTED NO IMPACT TO PATIENTS OR THE USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1049142 VIVID S6 DIAGNOSTIC ULTRASOUND SYSTEM IYN G.E MEDICAL SYSTEMS ISRAEL LTD. N/A 7411VS6

Patients

Seq Age Sex Outcome Treatment
1