FDA Adverse Event Other Summary report: N

CX50 ULTRASOUND SYSTEM

MDR report key: 2396687 · Received December 29, 2011

Report

Report Number
3019216-2011-00017
Event Type
Other
Date Received
December 29, 2011
Report Date
November 30, 2011
Manufacturer
PHILIPS ULTRASOUND, INC.
Product Code
IYO
PMA / PMN Number
K081802
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION CONCERNING THIS EVENT AND THE COMPLAINT IS STILL UNDER INVESTIGATION. NO DEATH OR SERIOUS INJURY WERE REPORTED. A PRODUCT MALFUNCTION HAS NOT BEEN CONFIRMED AT THE TIME OF THIS REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ULTRASOUND TECHNICIAN RECEIVED A MINOR BURN ON HER FINGERS WHILE LATCHING THE TRANSDUCER TO THE CX50 ULTRASOUND SYSTEM. NO OTHER INFORMATION HAS BEEN PROVIDED AT THIS TIME. PHILIPS IS WAITING FOR THE RETURN OF THE CX50 ULTRASOUND SYSTEM FOR FURTHER EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CX50 ULTRASOUND SYSTEM IYO, IYN, ITX IYO PHILIPS ULTRASOUND, INC. 795064 US90901347

Patients

Seq Age Sex Outcome Treatment
1 Other