VIVID I

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,user facility report with the FDA on 2020-02-05 for VIVID I manufactured by G.e Medical Systems Israel Ltd..

Event Text Entries

[182120731] No report of patient involvement. Udi: not applicable. The initial reporter is located outside the u. S. , and therefore this information is not provided due to country privacy laws. Ge healthcare's investigation is ongoing. Legal manufacturer: (b)(4). Device evaluation anticipated, but not yet begun.
Patient Sequence No: 1, Text Type: N, H10


[182120732] A customer reported that a fire started from a battery-powered ultrasound device, the vivid i. They reported ignition, sparks and smoke from the rear/back of the vivid i. The fire was extinguished by a fire extinguisher (c02 initially and then sprayed water because it could not be extinguished). At the time of the event the vivid i was on a cart and was battery powered (no ac).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615849-2020-00001
MDR Report Key9671392
Report SourceFOREIGN,USER FACILITY
Date Received2020-02-05
Date of Report2020-02-05
Date of Event2020-01-11
Date Mfgr Received2020-01-13
Device Manufacturer Date2015-05-10
Date Added to Maude2020-02-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactJOSEPH TAMBLYN
Manufacturer Street9900 W INNOVATION DR MAIL DROP: RP-B4422
Manufacturer CityWAUWATOSA WI
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVIVID I
Generic NameDIAGNOSTIC ULTRASOUND SYSTEM
Product CodeITX
Date Received2020-02-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerG.E MEDICAL SYSTEMS ISRAEL LTD.
Manufacturer AddressNATIV HA'OR STREET NO. 1 HAIFA 3508510 IS 3508510


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-05

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