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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ULTRASOUND, INC EPIQ 5 DIAGNOSTIC ULTRASOUND SYSTEM; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC

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PHILIPS ULTRASOUND, INC EPIQ 5 DIAGNOSTIC ULTRASOUND SYSTEM; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC Back to Search Results
Model Number 989605408541
Medical Device Problem Code Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/10/2025
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported their c10-3v transducer¿s scan head was damaged, resulting in exposed metal.The transducer was associated with the epiq 5 ultrasound system at the customer¿s site.There was no patient or user harm associated with this event.A philips service engineer initiated the replacement process 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 qualified philips service engineer reviewed the reported problem with the customer and the issue was confirmed.A replacement transducer was sent to the customer to resolve their immediate concern.An investigation was performed that included a visual analysis of the transducer and a review of repair and inspection data, which determined that the damages to the scan head resulted from accidental user damage.There was no indication of either non-conforming material and no indication of design anomaly requiring further action.
 
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Brand Name
EPIQ 5 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 Key23709267
Report Number3019216-2025-000459
Device Sequence Number10673529
Product Code IYN
UDI-Device Identifier00884838047686
UDI-Public(01)00884838047686
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K132304
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) 03/26/2026
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 Number989605408541
Device Catalogue Number795204
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/10/2025
Supplement Date Received by Manufacturer03/20/2026
Initial Report FDA Received Date12/03/2025
Supplement Report FDA Received Date03/26/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/14/2018
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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