MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-01-24 for X7-2T TRANSDUCER (MTEE) 989605361911 manufactured by Philips Ultrasound, Inc.
[181392024]
Return of the suspect transducer is anticipated. Evaluation of the transducer will be included in a follow up report upon its return and investigation completion.
Patient Sequence No: 1, Text Type: N, H10
[181392025]
A customer reported an articulation issue with an x7-2t model transducer. Problems with the tip movement were reported as being caused by damage to the device. There was no injury associated with this event.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 3019216-2020-00006 |
MDR Report Key | 9628141 |
Report Source | HEALTH PROFESSIONAL |
Date Received | 2020-01-24 |
Date of Report | 2019-12-29 |
Date Mfgr Received | 2019-12-29 |
Device Manufacturer Date | 2015-01-27 |
Date Added to Maude | 2020-01-24 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | BIOMEDICAL ENGINEER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MR. PAUL CORRIGAN |
Manufacturer Street | 22100 BOTHELL EVERETT HIGHWAY |
Manufacturer City | BOTHELL WA 98021 |
Manufacturer Country | US |
Manufacturer Postal | 98021 |
Manufacturer Phone | 4254877000 |
Manufacturer G1 | PHILIPS MEDICAL SYSTEMS |
Manufacturer Street | 3000 MINUTEMAN ROAD |
Manufacturer City | ANDOVER MA 01810 |
Manufacturer Country | US |
Manufacturer Postal Code | 01810 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | X7-2T TRANSDUCER (MTEE) |
Generic Name | TRANSDUCER, ULTRASONIC, DIAGNOSTIC |
Product Code | ITX |
Date Received | 2020-01-24 |
Returned To Mfg | 2020-02-05 |
Model Number | 989605361911 |
Lot Number | B18BDN |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | PHILIPS ULTRASOUND, INC |
Manufacturer Address | 22100 BOTHELL EVERETT HIGHWAY BOTHELL WA 98021 US 98021 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-01-24 |