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 |