FDA Adverse Event
Malfunction
Summary report: N
TRANSDUCER, S8-3T MICRO TEE
MDR report key: 4063353
·
Received August 8, 2014
Report
- Report Number
- 3019216-2014-00018
- Event Type
- Malfunction
- Date Received
- August 8, 2014
- Date of Event
- July 15, 2014
- Report Date
- July 15, 2014
- Manufacturer
- PHILIPS ULTRASOUND, INC.
- Product Code
- IYO
- PMA / PMN Number
- K030455
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PR#: (B)(4). EVAL OF THE TRANSDUCER WILL BE INCLUDED IN A FOLLOW UP REPORT UPON ITS RETURN. ADDITIONAL PMA# K034003.
Description of Event or Problem · 1
A CUSTOMER REPORTED AN S8-3T TRANSDUCER WAS PRODUCING POOR IMAGE QUALITY. THE PROCEDURE IN PROGRESS WAS COMPLETED SUCCESSFULLY WITH NO HARM TO THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 473127 | TRANSDUCER, S8-3T MICRO TEE | IYO IYN ITX | IYO | PHILIPS ULTRASOUND, INC. | 989605420181 | B0JRVX |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |