FDA Adverse Event
Malfunction
Summary report: N
AFFINITI CVX DIAGNOSTIC ULTRASOUND SYSTEM
MDR report key: 24062573
·
Received January 13, 2026
Report
- Report Number
- 3019216-2026-100008
- Event Type
- Malfunction
- Date Received
- January 13, 2026
- Date of Event
- December 15, 2025
- Report Date
- January 13, 2026
- Manufacturer
- PHILIPS ULTRASOUND, INC
- Product Code
- IYN
- UDI-DI
- 00884838126909
- PMA / PMN Number
- K132304
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE SWIVEL MECHANISM OF THE AFFINITI CVX ULTRASOUND SYSTEM¿S CONTROL PANEL DID NOT LOCK PROPERLY WHILE TRANSPORTING THE UNIT WITHIN THE USER FACILITY. THE FAILURE OCCURRED OUTSIDE OF CLINICAL USE AND NO PATIENT OR USER WAS HARMED AS A RESULT OF THE ISSUE. NO FURTHER INFORMATION IS AVAILABLE. 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 |
|---|---|---|---|---|---|---|---|
| 121562 | AFFINITI CVX DIAGNOSTIC ULTRASOUND SYSTEM | SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC | IYN | PHILIPS ULTRASOUND, INC | 795190 | 00884838126909 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |