FDA Adverse Event Malfunction Summary report: N

GIRAFFE OMNIBED

MDR report key: 14161351 · Received April 20, 2022

Report

Report Number
3005860720-2022-00011
Event Type
Malfunction
Date Received
April 20, 2022
Date of Event
March 22, 2022
Report Date
December 13, 2022
Manufacturer
GE MEDICAL SYSTEMS ULTRASOUND&PRIMARY CARE DIAGLLC
Product Code
FMZ
PMA / PMN Number
K071175
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. NO REPORT OF PATIENT INVOLVEMENT. THE INITIAL REPORTER IS LOCATED OUTSIDE THE U.S., AND THEREFORE THIS INFORMATION IS NOT PROVIDED DUE TO COUNTRY PRIVACY LAWS. LEGAL MANUFACTURER: (B)(4). DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN.

Additional Manufacturer Narrative · 0

GE HEALTHCARE MAINTENANCE TECHNICAL ASSISTANT DISMANTLED THE CANOPY SEALS AND REASSEMBLED THEM AFTER THE CANOPY SEALS WERE CLEANED BY THE CUSTOMER AS RECOMMENDED IN THE USER MANUAL. THERE WAS NO PATIENT IMPACT AND THERE WAS NO PRODUCT MALFUNCTION IDENTIFIED. H3 OTHER TEXT : GE HEALTHCARE MAINTENANCE TECHNICAL ASSISTANT DISMANTLED THE CANOPY SEALS AND REASSEMBLED THEM AFTER THE CANOPY SEALS WERE CLEANED BY THE CUSTOMER AS RECOMMENDED IN THE USER MANUAL. THERE WAS NO PATIENT IMPACT AND THERE WAS NO PRODUCT MALFUNCTION IDENTIFIED.

Description of Event or Problem · 0

THE HOSPITAL REPORTED AN ALLEGATION OF MOLD ON THE CANOPY SEALS. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1089067 GIRAFFE OMNIBED INCUBATOR, NEONATAL FMZ GE MEDICAL SYSTEMS ULTRASOUND&PRIMARY CARE DIAGLLC

Patients

Seq Age Sex Outcome Treatment
1 Unknown