BEUDAMED
    FDA Adverse Event Injury Summary report: N

    5.0/3.7 MHZ OMNI TEE TRANSDUCER

    MDR report key: 448067 · Received March 13, 2003

    Report

    Report Number
    3003723454-2003-00046
    Event Type
    Injury
    Date Received
    March 13, 2003
    Date of Event
    February 7, 2003
    Report Date
    February 24, 2003
    Manufacturer
    PHILIPS ULTRASOUND
    Product Code
    ITX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ESOPHAGEAL BURNS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5.0/3.7 MHZ OMNI TEE TRANSDUCER 21364A ITX PHILIPS ULTRASOUND 21364A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other