FDA Adverse Event Injury Summary report: N

VIVID S70

MDR report key: 16693828 · Received April 6, 2023

Report

Report Number
9615849-2023-00002
Event Type
Injury
Date Received
April 6, 2023
Date of Event
February 28, 2023
Report Date
May 2, 2023
Manufacturer
G.E MEDICAL SYSTEMS ISRAEL LTD.
Product Code
IYN
PMA / PMN Number
K170878
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BLOCK A: NO PATIENT WAS INVOLVED. BLOCK D4, UDI:(B)(4). LEGAL MANUFACTURER: HCS HAIFA U/S - NATIV HA'OR STREET NO. 1 ISRAEL HAIFA 3508510.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WAS RECEIVED STATING THAT WHILE INITIAL INFORMATION RECEIVED & REPORTED WAS THAT THE GEHC CLINICAL APPLICATIONS SPECIALIST TRIPPED ON A POWER CORD, THE GEHC CLINICAL APPLICATIONS SPECIALIST ACTUALLY TRIPPED ON AN GEHJC ECG TRUNK CABLE, 3/5-LEAD, AHA, 3.6 M/12 FT AND NOT THE POWER CORD. THERE WAS NO MALFUNCTION OF THE ECG CABLE SO THE CABLE WAS NOT EVALUATED. H3 OTHER TEXT : ADDITIONAL INFORMATION WAS RECEIVED STATING THAT WHILE INITIAL INFORMATION RECEIVED & REPORTED WAS THAT THE GEHC CLINICAL APPLICATIONS SPECIALIST TRIPPED ON A POWER CORD, THE GEHC CLINICAL APPLICATIONS SPECIALIST ACTUALLY TRIPPED ON AN GEHJC ECG TRUNK CABLE, 3/5-LEAD, AHA, 3.6 M/12 FT AND NOT THE POWER CORD. THERE WAS NO MALFUNCTION OF THE ECG CABLE SO THE CABLE WAS NOT EVALUATED.

Description of Event or Problem · 0

WHILE PERFORMING CUSTOMER TRAINING AT A CUSTOMER SITE A GEHC CLINICAL APPLICATIONS SPECIALIST TRIPPED ON THE VIVID S70 POWER CORD AND FELL, FRACTURING THEIR ELBOW. THERE WAS NO SYSTEM MALFUNCTION. THIS EVENT WAS ALSO RECORDED AS A WORKPLACE SAFETY INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1853899 VIVID S70 PULSED DOPPLER ULTRASOUND IMAGINGSYS IYN G.E MEDICAL SYSTEMS ISRAEL LTD. NOT SPECIFIED 001828S70

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other