FDA Adverse Event Malfunction Summary report: N

ITRAK 35001

MDR report key: 1220650 · Received October 31, 2008

Report

Report Number
1225258-2008-00015
Event Type
Malfunction
Date Received
October 31, 2008
Date of Event
October 15, 2008
Report Date
October 31, 2008
Manufacturer
GE OEC MEDICAL SYSTEMS INC.
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE GE REP HAD THE NURSE CHECK THE POSITION OF THE TRANSMITTER TO THE HEADSET AND HEADSET TO THE PATIENT, EVERYTHING CHECKED OUT OK ACCORDING TO THE NURSE. HE INSTRUCTED THE SURGEON REDO THE REGISTRATION, CALIBRATION AND VERIFICATION, THEN CHECK ONE OF THE METAL BB'S ON THE HEADSET WITH THE TIP OF THE ASPIRATOR. THE ACCURACY WAS PERFECT, THEN HE HAD THEM CHECK THE VERIFICATION POINT AND THE PATIENTS ANATOMY AND WERE STILL OFF AS MUCH AS 3 MM STILL. WITHOUT USING ACCUMATCH THEIR ONLY OPTION FOR USING NAVIGATION WILL BE TO RE-SCAN THE PATIENT. THE GE REP'S IMPRESSIONS ARE THAT THE HEADSET WAS IMPROPERLY POSITIONED OR MOVE DURING THE CT SCAN. CASE WAS PUT ON HOLD UNTIL THEY COULD TALK WITH CT.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY WERE HAVING A PROBLEM WITH THE ACCURACY BEING OFF BETWEEN 3-5 MM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ITRAK 35001 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1