FDA Adverse Event Other Summary report: N

ACUSON

MDR report key: 2820870 · Received October 29, 2012

Report

Report Number
3009498591-2012-00011
Event Type
Other
Date Received
October 29, 2012
Date of Event
September 27, 2012
Report Date
October 29, 2012
Manufacturer
SIEMENS MEDICAL SOLUTIONS USA, INC.
Product Code
ITX
PMA / PMN Number
K081148
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A NURSE CUT HER FINGER AGAINST A SHARP EDGE ON THE INSIDE OF THE ABVS POD BOTTOM HOUSING, HOWEVER, THE WOUND DID NOT NECESSITATE MEDICAL TREATMENT BEYOND BASIC FIRST AID. PER HEAD OF QUALITY AND TECHNOLOGY FOR (B)(6), THIS INCIDENT IS REPORTABLE TO THE (B)(6) WITHIN 30 DAYS FROM THE AWARENESS DATE (B)(6) 2012 AS A POTENTIAL RISK FOR SERIOUS INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACUSON DIAGNOSTIC ULTRASOUND DEVICE ITX SIEMENS MEDICAL SOLUTIONS USA, INC. ABVS-BASE BOM

Patients

Seq Age Sex Outcome Treatment
1