FDA Adverse Event Malfunction Summary report: N

ACUSON SC2000 ULTRASOUND SYSTEM

MDR report key: 5607538 · Received July 1, 2015

Report

Report Number
3009498591-2015-00190
Event Type
Malfunction
Date Received
July 1, 2015
Date of Event
April 8, 2015
Report Date
January 22, 2018
Manufacturer
SIEMENS MEDICAL SOLUTIONS USA INC.
Product Code
IYN
PMA / PMN Number
K113179
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

WHEN PATIENT NAME, PATIENT ID, PATIENT DATE OF BIRTH, AND THE PATIENT GENDER MATCH, THE SYSTEM WORKS AS EXPECTED. IN THE CASE OF THE PATIENT'S NAME HAVING A DIFFERENCE IN UPPER/LOWER CASE FROM THE ORIGINAL GENERATION OF THIS PATIENT, THE SW IS NOT CORRECTLY ACCOUNTING FOR THIS DIFFERENCE. THE SYSTEM SEES THIS AS TWO PATIENTS WITH 3 OF 4 IDENTIFIERS MATCHING, AND DOES NOT ALLOW THE CAPTURE OF CLIPS/IMAGES. THIS WILL BE RESOLVED VIA SOFTWARE RELEASE.

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE REFERENCED IN THIS REPORT WAS NOT RETURNED TO SIEMENS FOR EVALUATION. NO FURTHER INVESTIGATION WAS CONDUCTED DUE TO THE AGE OF THE COMPLAINT. REFERENCE: (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE PATIENT FILE WAS NOT SAVED CORRECTLY WHEN ENDING THE EXAM. THE INVESTIGATION REVEALED THAT IMAGES ARE NOT ACQUIRED DURING THE STUDY.

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS PROVIDED STATING THAT CLOSING THE UNSPECIFIED PROCEDURE WAS DELAYED BY THREE MINUTES. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
429783 ACUSON SC2000 ULTRASOUND SYSTEM DIAGNOSTIC ULTRASOUND DEVICE IYN SIEMENS MEDICAL SOLUTIONS USA INC. ACUSON SC2000 N/A

Patients

Seq Age Sex Outcome Treatment
1