FDA Adverse Event Malfunction Summary report: N

SILHOUETTE 20 HF

MDR report key: 1081561 · Received July 25, 2008

Report

Report Number
2126677-2008-00053
Event Type
Malfunction
Date Received
July 25, 2008
Date of Event
May 11, 2008
Report Date
May 11, 2008
Manufacturer
GE MEDICAL SYSTEMS, LLC
Product Code
IZO
PMA / PMN Number
K905799
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PROBLEM WAS DISCOVERED DURING A GE FIELD ENGINEER'S (FE) MAINTENANCE OF A DIFFERENT EQUIPMENT. THE FE EVALUATED THE SYSTEM AND FOUND A FAILED RESISTOR THAT PREVENTED THE TABLE LOCKS FROM ENGAGING, THUS SIMULATING A TABLE FLOAT COMMEND. THE FE REPLACED RESISTOR AND VERIFIED THAT THE TABLE LOCKS WERE PERFORMING ACCORDING TO SPECIFICATIONS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE, CAUSING THE TABLETOP TO MOVE IN TWO AXES WITHOUT RESISTANCE. THERE WAS NEITHER PT INVOLVEMENT NOR INJURY REPORTED. THIS SITUATION COULD POTENTIALLY CONTRIBUTE TO A SERIOUS INJURY IF A PT WERE TO BECOME UNSTEADY AND FALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SILHOUETTE 20 HF IZO GE MEDICAL SYSTEMS, LLC B3115NG NA

Patients

Seq Age Sex Outcome Treatment
1 NA