FDA Adverse Event Other Summary report: N

TEE/8-3 MHZ TRANSDUCER

MDR report key: 2655806 · Received June 1, 2009

Report

Report Number
3032367-2009-00004
Event Type
Other
Date Received
June 1, 2009
Date of Event
April 23, 2009
Report Date
June 1, 2009
Manufacturer
SONOSITE,INC.
Product Code
IYO
PMA / PMN Number
K071134
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AK, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER WAS USING METRICIDE OPA AS A CLEANING AGENT, WHICH IS NOT ONE OF THE DISINFECTANTS RECOMMENDED FOR USE ONLY THOSE DISINFECTANTS THAT HAVE BEEN RECOMMENDED FOR USE WITH THE TEE TRANSDUCER AND IN DOING SO TO ENSURE THEY FOLLOW THE MFR'S INSTRUCTIONS FOR USE WHEN CLEANSING AND RINSING THEIR TRANSDUCER. IN ADDITION, THEY WERE PROVIDED A COPY OF THE TEE USER GUIDE AND TEE CARE INSTRUCTIONS WHICH LISTS ALTERNATE CLEANING METHODS THAT HAVE BEEN APPROVED FOR USE WITH THE TEE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT A SONOSITE TEE/8-3 MHZ TRANSESOPHAGEAL TRANSDUCER LEFT BLACK MARKS ON THE PT'S LIPS AND TONGUE IN THE AREA WHERE THE TRANSDUCER SHAFT RESTED AGAINST THE PT. NO PERMANENT DAMAGE OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TEE/8-3 MHZ TRANSDUCER TRANSESOPHAGEAL ULTRASOUND TRANSDUCER IYO SONOSITE,INC. P06841

Patients

Seq Age Sex Outcome Treatment
1