FDA Adverse Event Malfunction Summary report: N

LOGIQ E9 BREAKTHROUGH 2013

MDR report key: 16599966 · Received March 23, 2023

Report

Report Number
3005860720-2023-00002
Event Type
Malfunction
Date Received
March 23, 2023
Date of Event
March 3, 2023
Report Date
May 17, 2023
Manufacturer
GE MEDICAL SYSTEMS ULTRASOUND & PRIMARY CARE DIAG
Product Code
IYN
PMA / PMN Number
K123564
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE'S (GEHC) INVESTIGATION HAS CONCLUDED WITH ADDITIONAL INFORMATION COLLECTED FROM THE CUSTOMER AND VISUAL INSPECTION OF THE DAMAGED LOGIQ E9. IT WAS DETERMINED THAT THE LOGIQ E9 WAS LEFT POWERED ON AND UNATTENDED IN A CLOSED ROOM WHEN IT CAUGHT FIRE. THE FACILITY FIRE ALARM AND SPRINKLER SYSTEM WERE NOT TRIGGERED, AND THE FACILITY CIRCUIT BREAKER DID NOT TRIP. POTENTIAL CAUSES WERE EVALUATED TO DETERMINE THE LIKELIHOOD OF THIS INCIDENT OCCURRING IN THE FUTURE INCLUDING HISTORICAL SYSTEM DATA AS WELL AS THE LOGIQ E9 COMPLAINT FILE. THERE HAVE BEEN NO THERMAL EVENTS RESULTING IN SYSTEMS CATCHING FIRE, AND THERE ARE NO SYSTEMIC DEFICIENCIES OBSERVED WITH THE LOGIQ E9. THE SPECIFIC ROOT CAUSE FOR THIS EVENT CANNOT BE DETERMINED AT THIS TIME BASED UPON THE INFORMATION AVAILABLE. BASED UPON THE VISUAL INSPECTION AND INFORMATION COLLECTED ABOUT THE INCIDENT GEHC'S INVESTIGATION CONCLUDED THAT THE FIRE MAY HAVE STARTED FROM LINT BUILDUP WITHIN THE POWER SUPPLY WHICH IGNITED, AND THEN THE POWER SUPPLY COOLING FAN BLEW THOSE FLAMES ONTO THE SYSTEM ENCLOSURE AND POWER CAUSING THOSE TO ALSO CATCH FIRE. THE RESIDUAL RISK HAS BEEN DETERMINED TO BE REDUCED AS FAR AS POSSIBLE (AFAP) AND NO FURTHER ACTIONS WILL BE TAKEN AT THIS TIME.

Additional Manufacturer Narrative · 0

NO PATIENT WAS INVOLVED. UDI: PRE-COMPLIANCE, NO UDI. LEGAL MANUFACTURER: HCS RESEARCH PARK - 9900 INNOVATION DRIVE USA WAUWATOSA, WI 53226. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 0

A CUSTOMER REPORTED TO GEHC THAT THE BACK OF A LOGIQ E9 HAD CAUGHT FIRE AND THE CAUSE OF THE FIRE IS UNKNOWN. NO INJURIES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1493491 LOGIQ E9 BREAKTHROUGH 2013 DIAGNOSTIC ULTRASOUND IMAGING SYSTEM IYN GE MEDICAL SYSTEMS ULTRASOUND & PRIMARY CARE DIAG UGLG9M 110278US9

Patients

Seq Age Sex Outcome Treatment
1 Unknown