FDA Adverse Event Malfunction Summary report: N

BVI 3000 DOME PROBE ASSY

MDR report key: 2961097 · Received February 8, 2013

Report

Report Number
3022472-2013-00016
Event Type
Malfunction
Date Received
February 8, 2013
Date of Event
January 11, 2013
Report Date
January 11, 2013
Manufacturer
VERATHON MEDICAL
Product Code
IYO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED ISSUE WAS NOT CONFIRMED. THE PROBE WAS TESTED ON A BLADDER PHANTOM; ALL SCANS WERE WITHIN PUBLISHED RANGE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE PROVIDED INACCURATE MEASUREMENTS. THE DEVICE VALUES SHOWED 275 ML BUT THE PT VOIDED 50 ML. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
54152 BVI 3000 DOME PROBE ASSY NONE IYO VERATHON MEDICAL 0570-0091

Patients

Seq Age Sex Outcome Treatment
1