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 |