| Brand Name | AFFINITI 70 |
| 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 Key | 50163479 |
| Report Number | 3019216-2026-100289 |
| Device Sequence Number | 12829553 |
| Product Code |
IYN
|
| UDI-Device Identifier | 00884838056251 |
| UDI-Public | (01)00884838056251 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| PMA/510(K) Number | K132304 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/22/2026 |
| 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 Number | Affiniti 70 Ultrasound System |
| Device Catalogue Number | 795210 |
| 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 | 07/15/2026 |
| Supplement Date Received by Manufacturer | 08/28/2026
|
| Initial Report FDA Received Date | 08/06/2026 |
| Supplement Report FDA Received Date | 09/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/11/2016 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|