FDA Adverse Event
Malfunction
Summary report: N
EPIQ CVX
MDR report key: 21355003
·
Received February 11, 2025
Report
- Report Number
- MW5165914
- Event Type
- Malfunction
- Date Received
- February 11, 2025
- Date of Event
- January 2, 2025
- Report Date
- February 4, 2025
- Manufacturer
- PHILIPS ULTRASOUND LLC.
- Product Code
- IYN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PHILIPS TEE (TRANSESOPHAGEAL ECHOCARDIOGRAM) PROBE USED FOR TRANS ESOPHAGEAL EXAMS CAUSED ULTRASOUND MACHINE TO SHUT DOWN OR NO ECHO IMAGE WHILE IMAGING PATIENTS. MULTIPLE OCCASIONS. MULTIPLE ERROR TYPES ON ULTRASOUND BUT PROBE PASSED ALL ELECTRICAL AND LEAK TESTING PRIOR TO USE. THIS CAUSES THE ULTRASOUND TO REBOOT WHILE PROBE IS IN PATIENT RESULTING IN LONGER TESTS AND DELAYED RESULTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1042758 | EPIQ CVX | SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC | IYN | PHILIPS ULTRASOUND LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 YR | Male |