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 |