FDA Adverse Event Malfunction Summary report: N

SITE~RITE 8 ULTRASOUND SYSTEM 32 MM LINEAR PROBE

MDR report key: 20782560 · Received November 26, 2024

Report

Report Number
3006260740-2024-07017
Event Type
Malfunction
Date Received
November 26, 2024
Date of Event
November 4, 2024
Report Date
January 7, 2025
Manufacturer
C.R. BARD, INC. (BASD) -3006260740
Product Code
IYO
UDI-DI
00801741138294
PMA / PMN Number
K182281
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD. THE DEVICE WAS RETURNED TO THE SERVICE FACILITY FOR EVALUATION. DURING EVALUATION, THE REPORTED ISSUE OF PROBE THAT WAS REPORTED TO HAVE AN IMAGE CLARITY ISSUE WAS UNCONFIRMED. THE UNIT IS GIVING A BRIGHT AND CLEAR IMAGE. THE ROOT CAUSE OF THE REPORTED FAILURE IS INCONCLUSIVE AS THE REPORTED ISSUE COULD NOT BE REPRODUCED DURING EVALUATION.

Additional Manufacturer Narrative · 0

H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD. THE DATE OF EVENT WAS NOT PROVIDED BY THE COMPLAINANT/REPORTER, THE DATE REFLECTED IN THIS REPORT IS THE DATE BD BECAME AWARE OF THE EVENT. THE MANUFACTURER HAS RECEIVED THE SAMPLE AND WILL BE EVALUATED. A SUPPLEMENTAL WILL BE SUBMITTED WITH EVALUATION RESULTS.

Description of Event or Problem · 0

IT WAS REPORTED, WE HAVE A PROBE THAT WAS REPORTED TO HAVE AN IMAGE CLARITY ISSUE. I HAD THE STAFF SWAP IT WITH ANOTHER AND IT LOOKS LIKE THE PROBE IS SHOWING POOR IMAGING REGARDLESS OF THE SITE RITE DEVICE THAT IT IS ATTACHED WITH. NO OTHER INFORMATION WAS PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED, WE HAVE A PROBE THAT WAS REPORTED TO HAVE AN IMAGE CLARITY ISSUE. I HAD THE STAFF SWAP IT WITH ANOTHER AND IT LOOKS LIKE THE PROBE IS SHOWING POOR IMAGING REGARDLESS OF THE SITE RITE DEVICE THAT IT IS ATTACHED WITH. NO OTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2404925 SITE~RITE 8 ULTRASOUND SYSTEM 32 MM LINEAR PROBE SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC IYO C.R. BARD, INC. (BASD) -3006260740 N/A N/A 00801741138294

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other