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U.S. Department of Health and Human Services

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

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PHILIPS ULTRASOUND, INC EPIQ 5; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC Back to Search Results
Catalog Number 795204
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the c9-4v transducer had a hole in the lens with exposed electronics.This was associated with an epiq 5g ultrasound system.The issue was found outside of clinical use and no patient or user was harmed.Information was provided to the customer for a replacement part to address the customer's immediate concerns.Philips has started an investigation, and upon completion, a follow up report will be submitted.
 
Additional Manufacturer Narrative
An investigation was performed that determined the hole in the lens with exposed electronics was likely a result of 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
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 Key23888286
Report Number3019216-2025-000502
Device Sequence Number13174324
Product Code IYN
UDI-Device Identifier00884838047686
UDI-Public(01)00884838047686
Combination Product (Y/N)N
Initial Reporter CountryBR
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
Type of Report Initial,Followup
Report Date (Section B) 02/13/2026
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 Catalogue Number795204
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/09/2025
Supplement Date Received by Manufacturer01/29/2026
Initial Report FDA Received Date12/24/2025
Supplement Report FDA Received Date02/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/27/2019
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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