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 |