FDA Adverse Event Death Summary report: N

EPIQ 7

MDR report key: 18980566 · Received March 26, 2024

Report

Report Number
3019216-2024-00038
Event Type
Death
Date Received
March 26, 2024
Date of Event
March 20, 2024
Manufacturer
PHILIPS ULTRASOUND, INC
Product Code
IYN
UDI-DI
00884838047693
PMA / PMN Number
K132304
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THE EPIQ 7 ULTRASOUND SYSTEM WAS ASSOCIATED WITH A PATIENT DEATH EVENT. A PATIENT WAS LOCATED IN THE ICU INTENSIVE CARE UNIT OF THE FACILITY AND REQUIRED RESUSCITATION. THE ULTRASOUND SYSTEM WOULD HAVE BEEN USED DURING THE RESUSCITATION EFFORTS; HOWEVER, WHEN THE STAFF MEMBER RETRIEVED THE SYSTEM FROM THE STORAGE ROOM, IT WAS OVERLOOKED THE SYSTEM WAS CONNECTED TO THE POWER SUPPLY AND THE PLUG WAS TORN OUT OF THE SOCKET. DUE TO THE DAMAGE OF THE DEVICE THAT OCCURRED, THE DEVICE WAS NOT USED ON THE PATIENT, BUT RATHER ANOTHER DEVICE WAS USED. THE SERVICE ENGINEER EVALUATED THE SYSTEM AND FOUND THE SYSTEM COULD BE TURNED ON AND STARTED. THE SYSTEM LOGS SHOWED BATTERIES AND AC POWER FAILURES. THE ORIGINAL POWER CABLE WAS NOT INSTALLED. THE POWER SUPPLY, POWER CABLE AND BATTERIES WERE ORDERED FOR REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
500083 EPIQ 7 SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC IYN PHILIPS ULTRASOUND, INC 00884838047693

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death