FDA Adverse Event Malfunction Summary report: N

TRANSDUCER, S8 3T MICRO TEE

MDR report key: 3979015 · Received June 27, 2014

Report

Report Number
3019216-2014-00013
Event Type
Malfunction
Date Received
June 27, 2014
Report Date
May 30, 2014
Manufacturer
PHILIPS ULTRASOUND, INC
Product Code
IYO
PMA / PMN Number
K030455,
Report Source
Manufacturer report
Reporter Location
KN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) ; THOUGH REQUESTED, THE S8 3T HAS NOT BEEN RECEIVED FOR FURTHER EVALUATION. ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE DEVICE IS RETURNED AND EVALUATION IS COMPLETED. ADDITIONAL PMA/510(K) #: K034003

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE S8- 3T TRANSDUCER WAS EXHIBITING POOR IMAGE QUALITY. THE PROCEDURE WAS COMPLETED WITH THE SAME TRANSDUCER. THE ISSUE DID NOT AFFECT PATIENT OUTCOME. NO PATIENT OR USER HAS BEEN HARMED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
378373 TRANSDUCER, S8 3T MICRO TEE IYO IYN ITX IYO PHILIPS ULTRASOUND, INC 989605420181

Patients

Seq Age Sex Outcome Treatment
1