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 |