FDA Adverse Event
Malfunction
Summary report: N
BKSPECTO ULTRASOUND SYSTEM
MDR report key: 15502864
·
Received September 29, 2022
Report
- Report Number
- 15502864
- Event Type
- Malfunction
- Date Received
- September 29, 2022
- Date of Event
- May 20, 2022
- Report Date
- September 22, 2022
- Manufacturer
- BK MEDICAL APS
- Product Code
- ITX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
ULTRASOUND WAS IN THE ROOM AND HAD BEEN USED PRIOR TO THIS SURGERY AND WORKED FINE. PATIENT CAME TO ROOM, WAS PUT UNDER ANESTHESIA AND WAS ASLEEP. ULTRASOUND MACHINE HAD AN ERROR CODE. REP AND TECH SUPPORT CONTACTED. THIS WAS AN UNRECOVERABLE CODE. OR CASE THEN CANCELLED DUE TO EQUIPMENT MALFUNCTION. PATIENT WOKE UP AND TAKEN TO PACU. NO HARM TO THE PATIENT. PROCEDURE TO BE DONE: TRANSPERINEAL PROSTATE BIOPSY. PROCEDURE CANCELLED. WENT TO THE VENDOR. RETURNED TO SERVICE BY VENDOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2933886 | BKSPECTO ULTRASOUND SYSTEM | TRANSDUCER, ULTRASONIC, DIAGNOSTIC | ITX | BK MEDICAL APS | 1300-S5 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23360 DA | Male |