FDA Adverse Event Malfunction Summary report: N

AVALON US TRANSDUCER

MDR report key: 22944104 · Received September 2, 2025

Report

Report Number
9610816-2025-000807
Event Type
Malfunction
Date Received
September 2, 2025
Date of Event
August 21, 2025
Report Date
September 2, 2025
Manufacturer
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
Product Code
HGL
PMA / PMN Number
K140535
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURING DATE FOR THE REPORTED DEVICE IS PRIOR TO 24SEPT2016 SO NO UDI REQUIRED. E1: REPORTING INSTITUTION PHONE # (B)(6). E1: REPORTER PHONE # (B)(6). A PHILIPS REMOTE SERVICE ENGINEER (RSE) SPOKE TO THE CUSTOMER AND CONFIRMED THAT TRANSDUCER IS FAULTY. A NEMO (NON-ENGINEERING MATERIAL ONLY) SERVICE WAS AGREED UPON. THE CUSTOMER ORDERED A REPLACEMENT TRANSDUCER TO RESOLVE THE ISSUE. IT HAS BEEN CONCLUDED THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE AVALON US TRANSDUCER INDICATING THE SOUND IS INAUDIBLE. THE DEVICE WAS NOT IN USE ON PATIENT AT TIME OF EVENT, THERE WAS NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2188612 AVALON US TRANSDUCER AVALON US TRANSDUCER HGL PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH AVALON US TRANSDUCER

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown