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U.S. Department of Health and Human Services

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

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PHILIPS ULTRASOUND EPIQ CVX DIAGNOSTIC ULTRASOUND SYSTEM; SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC Back to Search Results
Model Number 795231
Medical Device Problem Code Detachment of Device or Device Component (2907)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/12/2025
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported there was a detachment of the control panel to the base of the epiq cvx ultrasound system.There was no patient or user harm associated with this event.This issue was discovered outside clinical use.The philips field service engineer re-installed the screws to secure the control panel to the system 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 field service engineer evaluated the system based on the customer complaint and the issue was confirmed.The field service secured the screws attaching the control panel to the base to resolve the customer¿s immediate concern.An investigation was performed to identify the cause of the reported issue.The system has been returned to use with no other issues reported.
 
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Brand Name
EPIQ CVX DIAGNOSTIC ULTRASOUND SYSTEM
Common Device Name
SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC
Manufacturer (Section D)
PHILIPS ULTRASOUND
22100 bothell everett highway
bothell WA 98021
Manufacturer (Section G)
PHILIPS ULTRASOUND
22100 bothell everett highway
bothell WA 98021
Manufacturer Contact
ondrea bermudez
22100 bothell everett highway
bothell, WA 98021
MDR Report Key24024428
Report Number3019216-2026-100004
Device Sequence Number21512718
Product Code IYN
UDI-Device Identifier00884838107526
UDI-Public(01)00884838107526
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
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 User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 03/12/2026
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 Number795231
Device Catalogue Number795231
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 12/12/2025
Supplement Date Received by Manufacturer02/16/2026
Initial Report FDA Received Date01/09/2026
Supplement Report FDA Received Date03/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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