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