FDA Adverse Event Injury Summary report: N

PHILIPS M2725A WIRELESS TOCO TRANSDUCER

MDR report key: 8773874 · Received July 9, 2019

Report

Report Number
3007409280-2019-00002
Event Type
Injury
Date Received
July 9, 2019
Date of Event
May 9, 2016
Report Date
May 9, 2016
Manufacturer
PHILIPS MEDICAL SYSTEMS, INC.
Product Code
HGM
PMA / PMN Number
K023931
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO AVANTE HEALTH SOLUTIONS (AHS) FOR EVALUATION. VISUAL INSPECTION WAS PERFORMED AND DID NOT IDENTIFY ANY ISSUES. TESTING WAS PERFORMED BY KEEPING THE DEVICE PLUGGED IN OVER A TWO-DAY PERIOD WHICH DETERMINED THAT THERE WAS NO HEAT GENERATING FROM THE DEVICE. THERE WERE NO OTHER ISSUES IDENTIFIED. THE BATTERIES WERE EXCHANGED IN THE DEVICE FOR NEW ONES AND THERE WERE STILL NO ISSUES FOUND. A ROOT CAUSE FOR THE REPORTED PATIENT BURN AND BLISTER CANNOT BE DETERMINED. NO FURTHER ACTION IS REQUIRED. AVANTE HEALTH SOLUTIONS WILL CONTINUE TO MONITOR THIS TYPE OF EVENT.

Description of Event or Problem · 1

REPORTEDLY, THE PATIENT WAS BURNED DURING USE OF THE FETAL TRANSDUCER CREATING A BLISTER ON THE PATIENT'S STOMACH. THERE WAS NO REPORT OF INTERVENTION. NO ADDITIONAL EVENT OR PATIENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
567670 PHILIPS M2725A WIRELESS TOCO TRANSDUCER TOCOTRANSDUCER HGM PHILIPS MEDICAL SYSTEMS, INC. M2752-60001

Patients

Seq Age Sex Outcome Treatment
1 Other