FDA Adverse Event
Malfunction
Summary report: N
ACUSON SC2000 ULTRASOUND SYSTEM
MDR report key: 6049398
·
Received October 21, 2016
Report
- Report Number
- 3009498591-2016-00480
- Event Type
- Malfunction
- Date Received
- October 21, 2016
- Date of Event
- August 19, 2016
- Report Date
- October 21, 2016
- Manufacturer
- SIEMENS MEDICAL SOLUTIONS USA, INC.
- Product Code
- IYN
- PMA / PMN Number
- K142628
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- SERVICE AND TESTING PERSONNEL
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE IS UNDERGOING AN EVALUATION, BUT HAS NOT YET BEEN COMPLETED.
Description of Event or Problem · 1
AS A RESULT OF A RECENT FDA INSPECTION, WE ARE RETROSPECTIVELY REVIEWING COMPLAINTS AND ASSOCIATED DOCUMENTS FOR COMPLIANCE TO THE REGULATIONS FROM 2015 TO DATE. WE HAVE STRENGTHENED OUR MDR REPORTING CRITERIA AND WE ARE REPORTING THE ATTACHED MEDICAL DEVICE REPORT IN ACCORDANCE WITH OUR NEW CRITERIA. AS A RESULT OF THIS RETROSPECTIVE REVIEW, THIS MDR IS BEING REPORTED IMMEDIATELY UPON DISCOVERY. TAVR STUDY ON THE HARD DRIVE NOT ON PACS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 699063 | ACUSON SC2000 ULTRASOUND SYSTEM | DIAGNOSTIC ULTRASOUND DEVICE | IYN | SIEMENS MEDICAL SOLUTIONS USA, INC. | ACUSON S2000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |