FDA Adverse Event Other Summary report: N

C60/5-2 MHZ TRANSDUCER

MDR report key: 2844980 · Received November 12, 2012

Report

Report Number
3032367-2012-00002
Event Type
Other
Date Received
November 12, 2012
Date of Event
October 1, 2012
Report Date
October 16, 2012
Manufacturer
FUJIFILM SONOSITE, INC.
Product Code
IYN
PMA / PMN Number
K030949
Report Source
Manufacturer report
Reporter Location
DC, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

FOLLOWING TESTING, IT WAS CONFIRMED THAT THE EXPOSED WIRES WERE THE CAUSE OF THE REPORTED ISSUE. FUJIFILM SONOSITE, INC. CONCLUDES THIS TO BE A USER ERROR AS THE WARNINGS ON THE PRODUCT USER GUIDE CLEARLY STATES "TO AVOID THE RISK OF ELECTRICAL SHOCK, BEFORE USING THE TRANSDUCER, INSPECT THE TRANSDUCER FACE, HOUSING, AND CABLE. DO NOT USE THE TRANSDUCER IF THE TRANSDUCER OR CABLE IS DAMAGED." THE USER WAS INFORMED ABOUT THE RESULTS AND THEIR TRANSDUCER WAS REPLACED.

Description of Event or Problem · 1

(B)(6), BIOMED FOR PROVIDENCE HOSPITAL IN (B)(6), REPORTED TO FUJIFILM SONOSITE, INC. THAT A TECHNICIAN RECEIVED SHOCK DUE TO EXPOSED WIRES ON THE TRANSDUCER WHILE HE WAS SETTING UP FOR AN ULTRASOUND PROCEDURE. UPON FURTHER COMMUNICATION WITH THE TECHNICIAN, HE CLAIMED THAT HE FELT NUMBNESS IN HIS LEFT FIRST DIGIT. THE TECHNICIAN INFORMED FUJIFILM SONOSITE, INC. THAT HE REPORTED THE ISSUE TO EMPLOYEE HEALTH AND NO FURTHER MEDICAL INTERVENTION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 C60/5-2 MHZ TRANSDUCER TRANSDUCER, ULTRASONIC, DIAGNOSTIC IYN FUJIFILM SONOSITE, INC.

Patients

Seq Age Sex Outcome Treatment
1