FDA Adverse Event
Malfunction
Summary report: N
TE ULTRASOUND TRANSDUCER
MDR report key: 1950220
·
Received December 9, 2010
Report
- Report Number
- 9610482-2010-00005
- Event Type
- Malfunction
- Date Received
- December 9, 2010
- Date of Event
- November 9, 2010
- Report Date
- December 9, 2010
- Manufacturer
- GE VINGMED ULTRASOUND AS
- Product Code
- IYN
- PMA / PMN Number
- K081921
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A SITE REPORTED HAVING DIFFICULTIES REMOVING THE TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) PROBE FROM THE PT'S ESOPHAGUS. THE PT WAS REPORTEDLY TAKEN TO THE GI/IR LAB WHERE REMOVAL WAS ASSISTED UNDER FLUOROSCOPIC IMAGING. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TE ULTRASOUND TRANSDUCER | TRANSESOPHAGEAL ULTRASOUND | IYN | GE VINGMED ULTRASOUND AS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR |