FDA Adverse Event
Malfunction
Summary report: N
ACUSON S2000
MDR report key: 6119494
·
Received November 21, 2016
Report
- Report Number
- 3009498591-2016-00621
- Event Type
- Malfunction
- Date Received
- November 21, 2016
- Date of Event
- October 21, 2016
- Report Date
- November 20, 2016
- Manufacturer
- SIEMENS MEDICAL SOLUTIONS USA, INC.
- Product Code
- IYN
- PMA / PMN Number
- K152369
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- SERVICE PERSONNEL
Narratives
Additional Manufacturer Narrative · 1
THIS ISSUE IS UNDER INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS ARE AVAILABLE.
Description of Event or Problem · 1
WHEN REMOVING THE AC POWER CORD, THERE WAS A SPARK. THE INVESTIGATION IS IN PROCESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 768124 | ACUSON S2000 | DIAGNOSTIC ULTRASOUND DEVICE | IYN | SIEMENS MEDICAL SOLUTIONS USA, INC. | S2000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |