EPIQ ELITE DIAGNOSTIC ULTRASOUND CHINA
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
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.
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 |