FDA Adverse Event Malfunction Summary report: N

AFFINITI 70

MDR report key: 11182391 · Received January 15, 2021

Report

Report Number
3019216-2021-00012
Event Type
Malfunction
Date Received
January 15, 2021
Date of Event
December 17, 2020
Product Code
IYN
UDI-DI
00884838056251
PMA / PMN Number
K132304
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

A THOROUGH INVESTIGATION WAS PERFORMED BY PRODUCT ENGINEERING TO ASSESS THE REPORTED ISSUE. A SERIES OF VALIDATION TESTS CONFIRMED THAT THE MEAN VELOCITY MEASUREMENTS WERE WITHIN SPECIFICATIONS AND PW MODE WAS WORKING AS INTENDED. THE SYSTEM WAS DETERMINED TO BE OPERATING AS DESIGNED. ADDITIONAL SETTINGS RECOMMENDATIONS WERE ALSO PROVIDED TO THE CUSTOMER TO HELP ACHIEVE THEIR PREFERRED WORKFLOW.

Additional Manufacturer Narrative · 1

AN INVESTIGATION IS UNDERWAY TO DETERMINE THE ROOT CAUSE OF THE ISSUE. RESULTS OF THE INVESTIGATION WILL BE INCLUDED IN A FOLLOW UP REPORT UPON ITS COMPLETION.

Description of Event or Problem · 1

A CUSTOMER REPORTED ENCOUNTERING A DISCREPANCY WITH MCA DOPPLER VELOCITIES ON THEIR AFFINITI ULTRASOUND SYSTEM. THE MCA DOPPLER VELOCITY ON THEIR AFFINITI SYSTEM APPEARS TO BE HIGHER THAN THOSE ON A COMPETITOR¿S SYSTEMS. THESE VALUES ARE USED TO EVALUATE FETAL ANEMIA. IF THIS IS EXPECTED FROM THE MEASUREMENTS, A PERCUTANEOUS UMBILICAL BLOOD SAMPLING (PUBS) IS PERFORMED TO EXAMINE BLOOD FROM THE FETAL UMBILICAL CORD TO DETECT FETAL ANOMALIES. THE CUSTOMER HAS FOUND INSTANCES WHERE A PUBS WAS PERFORMED USING VALUES FROM THE AFFINITI WHERE THERE WAS NO EVIDENCE OF FETAL ANEMIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
74555 AFFINITI 70 SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC IYN AFFINITI 70 DIAGNOSTIC ULTRASOUND SYSTEM 00884838056251

Patients

Seq Age Sex Outcome Treatment
1