FDA Adverse Event Injury Summary report: N

CENTRICITY RA1000

MDR report key: 1085370 · Received July 31, 2008

Report

Report Number
3004526608-2008-00029
Event Type
Injury
Date Received
July 31, 2008
Date of Event
March 23, 2007
Report Date
April 12, 2007
Manufacturer
GE HEALTHCARE INTEGRATED IT SOLUTIONS
Product Code
LLZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IT WAS DETERMINED THAT THE CUSTOMER INSTALLED CONFIGURATION DID NOT ADEQUATELY ADDRESS IMAGE DISPLAY REDUNDANCY. CUSTOMER COULD HAVE CONTINUED SURGERY BY: REVIEW FROM ANOTHER WORKSTATION, SENDING DIRECTLY TO VARIAN OR EXPORTING IMAGES TO CD MEDIA FOR VIEWING.

Description of Event or Problem · 1

DUE TO A COMMUNICATION ERROR BETWEEN THE PACS SYSTEM AND THE FACILITY'S VARIAN BRACHYVISION, A PROCEDURE HAD TO BE CANCELLED AND RESCHEDULED. THE SYSTEM WAS BEING USED FOR VIEWING IMAGES DURING A PROSTATE CARCINOMA TREATMENT PROCEDURE AT THE TIME WHEN THEY COULD NOT BE DISPLAYED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CENTRICITY RA1000 RA1000 LLZ GE HEALTHCARE INTEGRATED IT SOLUTIONS RA1000 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization VARIAN| BRACHYVISION