FDA Adverse Event Malfunction Summary report: N

ACUSON S2000 ULTRASOUND SYSTEM

MDR report key: 6395437 · Received March 10, 2017

Report

Report Number
3009498591-2016-00273
Event Type
Malfunction
Date Received
March 10, 2017
Date of Event
August 24, 2015
Report Date
October 11, 2021
Manufacturer
SIEMENS MEDICAL SOLUTIONS USA, INC.
Product Code
IYO
PMA / PMN Number
K140959
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS ISSUE IS UNDER INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS ARE AVAILABLE. NOTE: THE ORIGINAL EMDR WAS SUBMITTED TO THE NON-PRODUCTION ENVIRONMENT. THIS REPORT IS TO SUBMIT TO THE PRODUCTION ENVIRONMENT.

Description of Event or Problem · 0

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. SIEMENS MEDICAL SOLUTIONS USA, INC. RECEIVED A MEDWATCH REPORT # (B)(4) REPORTING THE FOLLOWING: " AS THE ULTRASOUND TECH WAS PERFORMING THE ULTRASOUND AND THE MACHINE SHUT OFF DURING THE EXAM. THE ULTRASOUND HAD TO BE UNPLUGGED FROM THE POWER CORD IN ORDER TO SHUT IT OFF AND BE ABLE TO TURN IT BACK ON TO CONTINUE THE CASE. THIS SAME SCENARIO HAS HAPPENED 3 TIMES IN THE LAST 2 DAYS AND WE ARE WAITING FOR THE MANUFACTURER TO COME OUT TODAY TO ASSES THE PROBLEM. THEY ALSO HAD REPLACED THE HARD DRIVE IN THIS UNIT ON (B)(6) 2015, BECAUSE THE MACHINE WOULD NOT BOOT UP." SIEMENS FOLLOWED UP WITH THE EVENT REPORTER AT THE USER FACILITY AND IT WAS REPORTED THAT THE ISSUE HAPPENED ON MULTIPLE PATIENTS. THE USER FACILITY BELIEVES THAT THE CAUSE IS DUE TO EQUIPMENT ISSUE THAT ALSO CONTRIBUTED TO DELAYED PATIENT CARE. THERE WAS NO PATIENT ADVERSE EVENT REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
176470 ACUSON S2000 ULTRASOUND SYSTEM ULTRASOUND DEVICE IYO SIEMENS MEDICAL SOLUTIONS USA, INC. ACUSON S2000 N/A

Patients

Seq Age Sex Outcome Treatment
1 Unknown