FDA Adverse Event Malfunction Summary report: N

TRANSDUCER, S8-3T MICRO TEE

MDR report key: 3000125 · Received February 14, 2013

Report

Report Number
3019216-2013-00001
Event Type
Malfunction
Date Received
February 14, 2013
Report Date
January 18, 2013
Manufacturer
PHILIPS ULTRASOUND, INC.
Product Code
IYO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). IMAGE QUALITY DEGRADATION DURING CLINICAL USE OF THE S8-3T WAS REPORTED UNDER 21CFR 806 PER (B)(4). CUSTOMERS WERE INFORMED ABOUT WHAT ACTIONS TO TAKE IN ORDER TO PREVENT RISKS FOR PATIENT. THE RETURNED DEVICE WAS EVALUATED AND CONFIRMED TO BE ASSOCIATED WITH THE ISSUE IDENTIFIED IN THE RECALL. THERE HAVE BEEN NO ADVERSE EVENTS AS A RESULT OF THIS ISSUE.

Description of Event or Problem · 1

PHILIPS HEALTHCARE CUSTOMER SERVICE CENTER RECEIVED A CALL FROM THE CUSTOMER STATING THAT THEIR S8-3T TRANSDUCER NEEDED TO BE REPLACED BECAUSE IT WAS DAMAGED AND UNUSABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
64888 TRANSDUCER, S8-3T MICRO TEE IYO IYN ITX IYO PHILIPS ULTRASOUND, INC. 989605379471 03FGP2

Patients

Seq Age Sex Outcome Treatment
1