FDA Adverse Event Malfunction Summary report: N

TRANSDUCER, S8-3T MICRO TEE

MDR report key: 3140068 · Received May 29, 2013

Report

Report Number
3019216-2013-00004
Event Type
Malfunction
Date Received
May 29, 2013
Report Date
April 30, 2013
Manufacturer
PHILIPS ULTRASOUND, INC.
Product Code
IYO
Removal / Correction Number
Z-2062-2011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). PRELIMINARY EVAL OF THE RETURNED S8-3T TRANSDUCER NOTES OIL SEPARATION IN THE ACOUSTIC WINDOW WHICH WAS PREVIOUSLY REPORTED UNDER 21CFR PER Z-2062-2011. FINAL EVAL OF THE RETURNED TRANSDUCER IS PENDING WHICH WILL INCLUDE AN EVAL OF THE REPORTED ARTICULATION ANOMALY. A FINAL REPORT WILL BE SUBMITTED WITH THOSE FINDINGS ONCE COMPLETED.

Description of Event or Problem · 1

PHILIPS HEALTHCARE CUSTOMER SERVICE CENTER RECEIVED A CALL FROM THE CUSTOMER STATING THAT THEIR S8-3T TRANSDUCER WOULD NOT CHANGE ANGLES. THE PROCEDURE COMPLETED WITHOUT INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
236438 TRANSDUCER, S8-3T MICRO TEE IYO, IYN, ITX IYO PHILIPS ULTRASOUND, INC. 989605379471 03CX6G

Patients

Seq Age Sex Outcome Treatment
1