FDA Adverse Event Injury Summary report: N

EPIQ ELITE DIAGNOSTIC ULTRASOUND CHINA

MDR report key: 23570840 · Received November 17, 2025

Report

Report Number
3019216-2025-000439
Event Type
Injury
Date Received
November 17, 2025
Date of Event
October 28, 2025
Report Date
December 4, 2025
Manufacturer
PHILIPS ULTRASOUND, INC
Product Code
IYN
UDI-DI
00884838102620
PMA / PMN Number
K200304
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS WAS INITIALLY REPORTED FOR AN ALLEGATION OF A SERIOUS INJURY. HOWEVER, ADDITIONAL INFORMATION WAS RECEIVED THAT VERIFIED THERE WAS NO ACTUAL HARM OR INJURY ASSOCIATED WITH THIS EVENT. THERE WAS NO MISSED OR MISDIAGNOSIS ASSOCIATED WITH THIS EVENT. THERE WAS NO DETERIORATION OF THE PATIENT'S CONDITION ASSOCIATED WITH THIS EVENT. THE EXAM WAS COMPLETED ON THE SAME SYSTEM. THE REPORTED PROBLEM INDICATED IN THIS EVENT IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR DEATH IF IT WERE TO REOCCUR.

Description of Event or Problem · 0

PHILIPS RECEIVED AN NMPA#(B)(4). IT WAS REPORTED A CUSTOMER¿S EPIQ ELITE ULTRASOUND SYSTEM, IN USE WITH AN UNSPECIFIED ABDOMINAL TRANSDUCER, HAD IMAGE QUALITY ISSUES. DURING AN ABDOMINAL EXAMINATION, THERE WAS SIGNIFICANT INTERFERENCE RESULTING IN BLURRY IMAGES AND UNCLEAR BLOOD FLOW. THE CUSTOMER ALLEGES A SERIOUS INJURY OCCURRED, HOWEVER THERE IS INSUFFICIENT INFORMATION REGARDING THE PATIENT OUTCOME AT THIS TIME. 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
281217 EPIQ ELITE DIAGNOSTIC ULTRASOUND CHINA SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC IYN PHILIPS ULTRASOUND, INC 00884838102620

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male Other