FDA Adverse Event Malfunction Summary report: N

AVALON US TRANSDUCER

MDR report key: 23547455 · Received November 13, 2025

Report

Report Number
9610816-2025-001065
Event Type
Malfunction
Date Received
November 13, 2025
Date of Event
October 21, 2025
Report Date
January 5, 2026
Manufacturer
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
Product Code
HGL
UDI-DI
00884838002722
PMA / PMN Number
K140535
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS ISSUE WAS INITIALLY REPORTED AGAINST THE TOCO TRANSDUCER. THE TOCO IS THE INCORRECT PRODUCT. THE REPORT IS UPDATED TO THE AVALON ULTRASOUND TRANSDUCER. D1 BRAND NAME INFORMATION IS UPDATED. D2A COMMON DEVICE NAME IS UPDATED. D2B PROCODE IS UPDATED. D4 CATALOG ITEM IDENTIFIER IS UPDATED TO 989803143691. D4 UDI IS UPDATED TO (B)(4). PHILIPS REMOTE SERVICE ENGINEER (RSE) SPOKE WITH THE CUSTOMER AND CONFIRMED THE ISSUE. A REPLACEMENT TRANSDUCER WAS SHIPPED TO THE CUSTOMER. THE CUSTOMER HAS ASSUMED THE REPAIR RESPONSIBILITY. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED.

Additional Manufacturer Narrative · 0

PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION CONCERNING THIS EVENT AND THE COMPLAINT IS STILL UNDER INVESTIGATION. A FINAL REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE TRANSDUCER IS NOT TAKING CORRECT READINGS. THE DEVICE WAS IN CLINICAL USE ON A PATIENT AT THE TIME OF THE EVENT. THERE WAS NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1928653 AVALON US TRANSDUCER TRANSDUCER, ULTRASONIC, OBSTETRIC HGL PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH AVALON US TRANSDUCER 00884838002722

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown