FDA Adverse Event
Malfunction
Summary report: N
MAC-LAB
MDR report key: 11894201
·
Received May 27, 2021
Report
- Report Number
- 11894201
- Event Type
- Malfunction
- Date Received
- May 27, 2021
- Date of Event
- April 29, 2021
- Report Date
- May 17, 2021
- Manufacturer
- GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC.
- Product Code
- DQK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
GE MEDICAL SYSTEMS (B)(6) SHUTS DOWN PARTIALLY WITHOUT WARNING WITH PATIENT ON TABLE. HEALTH CARE PROVIDERS ARE UNABLE TO RESTART AUTO VITALS, UNABLE TO RECORD PRESSURES, ETC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 790106 | MAC-LAB | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25550 DA |