FDA Adverse Event Other Summary report: N

CX50 ULTRASOUND SYSTEM

MDR report key: 3978810 · Received July 9, 2014

Report

Report Number
3019216-2014-03915
Event Type
Other
Date Received
July 9, 2014
Date of Event
June 11, 2014
Report Date
June 11, 2014
Manufacturer
PHILIPS ULTRASOUND, INC.
Product Code
IYO
PMA / PMN Number
K081802
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). VISUAL INSPECTION BY THE PHILIPS FIELD SERVICE ENGINEER REVEALED A LOOSE SCREW INSIDE THE SYSTEM MADE CONTACT WITH A VOLTAGE SOURCE ON THE MOTHERBOARD CAUSING A TEMPERATURE RISE IN THE TRANSDUCER LATCH. THERE WAS NO REPORT OF ANY SERIOUS INJURY ONLY MINOR BURN TO THE FINGERTIP WHEN THE DOCTOR REMOVED THE TRANSDUCER ADAPTER. THIS SYSTEM WAS SHIPPED IN 2008 PRIOR TO THE IMPLEMENTATION OF AN ENHANCED FASTENER INSTALLED ON ALL CX50 SYSTEMS SHIPPED AFTER (B)(6) 2010.

Description of Event or Problem · 1

A MINOR FINGERTIP BURN WAS RECEIVED BY THE DOCTOR WHILE ATTEMPTING TO REMOVE THE TRANSDUCER ADAPTER FROM THE CX50 ULTRASOUND SYSTEM. NO SERIOUS INJURY OCCURRED. OINTMENT WAS APPLIED TO THE FINGER AND NO OTHER MEDICAL INTERVENTION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
402212 CX50 ULTRASOUND SYSTEM IYO IYN ITX IYO PHILIPS ULTRASOUND, INC. 795064 USA0800388

Patients

Seq Age Sex Outcome Treatment
1