FDA Adverse Event
Malfunction
Summary report: N
VIVID
MDR report key: 10419631
·
Received August 18, 2020
Report
- Report Number
- 10419631
- Event Type
- Malfunction
- Date Received
- August 18, 2020
- Date of Event
- July 7, 2020
- Report Date
- July 16, 2020
- Manufacturer
- GE VINGMED ULTRASOUND AS
- Product Code
- IYN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PATIENT WAS HAVING A PRE-ABLATION TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE). TEE PERFORMED AND OK TO PROCEED WITH ABLATION. SHUT DOWN ECHO MACHINE IN ORDER TO GO BACK TO ECHO LAB. UPON STARTING MACHINE BACK UP AND TRANSMITTING IMAGES, THE MACHINE MALFUNCTIONED AND WOULDN'T SEND IMAGES. SERVICE TECHNICIAN CALLED IN. THE SOFTWARE WAS CORRUPT FOR UNKNOWN REASON. STUDY WAS NOT ABLE TO BE RECOVERED. IMAGES LOST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 884938 | VIVID | SYSTEM, IMAGING, PULSED DOPPLER, ULTRASONIC | IYN | GE VINGMED ULTRASOUND AS | E9 BT11 AND BT12 TO BT13 XDCLEAR UPG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 19710 DA |