FDA Adverse Event
Malfunction
Summary report: N
IE33 DIAGNOSTIC ULTRASOUND SYSTEM
MDR report key: 21890615
·
Received April 23, 2025
Report
- Report Number
- 21890615
- Event Type
- Malfunction
- Date Received
- April 23, 2025
- Date of Event
- January 6, 2025
- Report Date
- April 16, 2025
- Manufacturer
- PHILIPS ULTRASOUND LLC
- Product Code
- ITX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PHILIPS TEE [TRANSESOPHAGEAL ECHOCARDIOGRAM] MACHINE FROZE AND WAS NOT RESPONDING TO THE BUTTONS/CONTROLS ON THE PROBE OR THE COMPUTER CONSOLE. THE ANESTHESIA TECH AND ECHO TECH BOTH TRIED TO TROUBLESHOOT THE PROBLEM, AND THE MACHINE HAD TO BE REBOOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 674398 | IE33 DIAGNOSTIC ULTRASOUND SYSTEM | TRANSDUCER, ULTRASONIC, DIAGNOSTIC | ITX | PHILIPS ULTRASOUND LLC | 8500-0082-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Unknown |