FDA Adverse Event Death Summary report: N

CX50

MDR report key: 22685695 · Received August 1, 2025

Report

Report Number
3019216-2025-000268
Event Type
Death
Date Received
August 1, 2025
Date of Event
July 23, 2025
Report Date
September 11, 2025
Manufacturer
PHILIPS ULTRASOUND, INC
Product Code
IYN
PMA / PMN Number
K081802
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A THOROUGH INVESTIGATION WAS PERFORMED TO DETERMINE IF THE SYSTEM MALFUNCTIONED. THE SYSTEM LOGS WERE REVIEWED AND ONLY A DISCONNECTED NETWORK CABLE WAS NOTED IN THE LOGS. THIS ISSUE WOULD NOT AFFECT THE IMAGE QUALITY OR THE PERFORMANCE OF THE SYSTEM. THE USER WOULD STILL BE ABLE TO OBTAIN IMAGES AS WELL AS MEASUREMENTS AND CALCULATIONS. THERE WAS NO ALLEGATION OR EVIDENCE OF A MALFUNCTION OF THE DEVICE. NO FURTHER INFORMATION COULD BE OBTAINED FROM THE CUSTOMER.

Description of Event or Problem · 0

A CUSTOMER REPORTED A PATIENT HAD EXPIRED THE SAME DAY THEIR CX50 ULTRASOUND SYSTEM WAS USED UPON THEM. NO FURTHER INFORMATION WAS PROVIDED NOR COULD BE OBTAINED AT THIS TIME. THE SERVICE ENGINEER REPORTED THE SYSTEM AND TRANSDUCER TESTING PASSED AND THE SYSTEM WAS FULLY OPERATIONAL AND FUNCTIONAL. PHILIPS HAS STARTED AN INVESTIGATION, AND UPON COMPLETION, A FOLLOW UP REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
213194 CX50 SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC IYN PHILIPS ULTRASOUND, INC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death