FDA Adverse Event Malfunction Summary report: N

PHILIPS M2734B SMART TOCO TRANSDUCER

MDR report key: 12042925 · Received June 22, 2021

Report

Report Number
3007409280-2021-00006
Event Type
Malfunction
Date Received
June 22, 2021
Date of Event
May 27, 2021
Report Date
May 27, 2021
Manufacturer
PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH
Product Code
HGM
PMA / PMN Number
K140535
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED ISSUE STATES: "THE PATIENT STATED SHE WAS FEELING TINY "SHOCKS" WHERE THE TOCO TOUCHED HER SKIN". THIS DEVICE IS AFFECTED BY RECALL2019-01. THERE WAS NO PATIENT HARM. THERE IS NO ADDITIONAL INFORMATION AT THIS TIME. THE COMPLAINT DEVICE WAS RETURNED FOR EVALUATION. THE TECHNICIAN TESTED THE DEVICE ON HIMSELF AND CONFIRMED THAT THE DEVICE WAS NOT SHOCKING HIM; RATHER, THE SERIAL NUMBER STICKER WAS POKING HIM. THE CABLE WAS REPLACED FOR PREVENTATIVE MAINTENANCE. A GAIN MEASUREMENT TEST AND A PARAMETER TEST WERE PERFORMED AND ALL TESTS PASSED. THE CUSTOMER COMPLAINT COULD NOT BE CONFIRMED. THE ROOT CAUSE WAS DETERMINED TO BE THAT THE TECHNICIAN DID NOT PROPERLY ATTACH THE SERIAL NUMBER STICKER TO THE BACK OF THE DEVICE. NO ADDITIONAL PATIENT OR EVENT INFORMATION IS AVAILABLE. THIS TYPE OF EVENT WILL CONTINUE TO BE MONITORED.

Description of Event or Problem · 0

THE PATIENT STATED SHE WAS FEELING TINY "SHOCKS" WHERE THE TOCO TOUCHED HER SKIN. THERE WAS NO REPORT OF PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
943678 PHILIPS M2734B SMART TOCO TRANSDUCER TRANSDUCER HGM PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH FIMF3505-B

Patients

Seq Age Sex Outcome Treatment
1