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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ULTRASOUND, INC EPIQ ELITE DIAGNOSTIC ULTRASOUND SYSTEM; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC

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PHILIPS ULTRASOUND, INC EPIQ ELITE DIAGNOSTIC ULTRASOUND SYSTEM; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC Back to Search Results
Model Number 795234
Medical Device Problem Code Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/07/2025
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported their c10-3v transducer¿s lens was damaged, resulting in exposed metal.The transducer was associated with the epiq elite ultrasound system at the customer¿s site.The issue occurred outside of clinical use and there was no patient or user harm associated with this event.A philips field service engineer replaced the transducer to resolve the customer¿s immediate concerns.Philips has started an investigation, and upon completion, a follow up report will be submitted.
 
Additional Manufacturer Narrative
A thorough investigation was conducted to identify the cause of the reported issue.Evaluation of the transducer determined that the damage resulted from improper maintenance; the pattern of lens wear was consistent with a cleaning and sterilization process that progressively eroded the lens material until the underlying metal became exposed.There was no evidence of non conforming material at the time of shipment, nor any indication of a design anomaly requiring further action.
 
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Brand Name
EPIQ ELITE DIAGNOSTIC ULTRASOUND SYSTEM
Common Device Name
SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC
Manufacturer (Section D)
PHILIPS ULTRASOUND, INC
22100 bothell everett highway
bothell WA 98021
Manufacturer (Section G)
PHILIPS ULTRASOUND, INC
22100 bothell everett highway
bothell WA 98021
Manufacturer Contact
ondrea bermudez
22100 bothell everett highway
bothell, WA 98021
MDR Report Key23483096
Report Number3019216-2025-000421
Device Sequence Number15828318
Product Code IYN
UDI-Device Identifier00884838107540
UDI-Public(01)00884838107540
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K200304
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/11/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number795234
Device Catalogue Number795234
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/07/2025
Supplement Date Received by Manufacturer02/09/2026
Initial Report FDA Received Date11/05/2025
Supplement Report FDA Received Date03/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/10/2022
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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