FDA Adverse Event Malfunction Summary report: N

DEFINIUM 8000

MDR report key: 1112844 · Received August 13, 2008

Report

Report Number
2126677-2008-00058
Event Type
Malfunction
Date Received
August 13, 2008
Date of Event
May 1, 2008
Report Date
May 1, 2008
Manufacturer
GE MEDICAL SYSTEMS, LLC
Product Code
KPR
PMA / PMN Number
K051967
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE GE FIELD ENGINEER (FE) INSPECTED THE UNIT, AND FOUND THAT THE I/O BOARD AND RELATED CABLES WERE DEFECTIVE. THE FE REPLACED THE BOARD, THE CABLES AND VERIFIED THAT THE TABLE LOCKS WERE PERFORMING ACCORDING TO SPECIFICATIONS.

Description of Event or Problem · 1

THE TABLE LOCKS DID NOT ACTUATE, CAUSING THE TABLETOP TO MOVE IN TWO DIRECTIONS WITHOUT RESISTANCE. THERE WAS NO INJURY REPORTED. THE ISSUE WAS DISCOVERED AS THE OPERATOR WAS SETTING UP A PT. THIS SITUATION COULD CONTRIBUTE TO AN INJURY IF A PT OR OPERATOR WERE UNAWARE OF THIS CONDITION WHILE LOADING A PT. THE ENSUING INSTABILITY COULD LEAD TO A FALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DEFINIUM 8000 KPR/IZF/MQB KPR GE MEDICAL SYSTEMS, LLC 5131070 NA

Patients

Seq Age Sex Outcome Treatment
1 NA