FDA Adverse Event Injury Summary report: N

MOUNT

MDR report key: 18123401 · Received November 9, 2023

Report

Report Number
MW5148061
Event Type
Injury
Date Received
November 9, 2023
Date of Event
November 6, 2023
Report Date
November 7, 2023
Manufacturer
GCX CORPORATION
Product Code
QWA
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
WI, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

THIS LETTER IS TO INFORM YOU THAT GE HEALTHCARE (GEHC) RECEIVED A COMPLAINT FROM (B)(6) REPORTING THAT A NURSE SUSTAINED A SHOULDER INJURY WHILE ATTEMPTING TO CATCH A FALLING GE HEALTHCARE (GEHC) PATIENT MONITOR. THE CUSTOMER COULD NOT PROVIDE ANY FURTHER DETAILS PERTAINING TO THE EXTENT OF THE NURSE¿S INJURY AND ANY TREATMENT THAT MAY HAVE BEEN REQUIRED. THE CUSTOMER SUBSEQUENTLY DETERMINED THAT THE GCX MOUNT HAD FAILED THUS CAUSING THE GEHC MONITOR TO FALL. THE GCX MOUNT IS NOT MANUFACTURED BY GEHC. THE MOUNT IS MANUFACTURED BY GCX MOUNTING SOLUTIONS, WHO¿S AMERICAN OPERATIONS ARE IN (B)(6). GEHC NOTIFIED GCX MOUNTING SOLUTIONS OF THE EVENT ON (B)(6) 2023. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1989351 MOUNT CARDIOVASCULAR DELIVERY CATHETER SYSTEM POSITIONING AND STABILIZATION DEVICE QWA GCX CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Unknown