FDA Adverse Event Malfunction Summary report: N

CIC PRO CLINICAL INFORMATION CENTER

MDR report key: 2033650 · Received February 11, 2011

Report

Report Number
2124823-2011-00012
Event Type
Malfunction
Date Received
February 11, 2011
Date of Event
January 17, 2011
Report Date
February 11, 2011
Manufacturer
GE HEALTHCARE
Product Code
DSI
PMA / PMN Number
K062976
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

A SITE REPORTED A LOSS OF TELEMETRY MONITORING FOR APPROXIMATELY 8 PATIENTS FOR MORE THAN ONE HOUR DUE TO A PRESUMED CLINICAL INFORMATION CENTER MOTHERBOARD FAILURE. THERE WAS NO REPORTED PATIENT INJURY. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CIC PRO CLINICAL INFORMATION CENTER CENTRAL MONITORING SYSTEM DSI GE HEALTHCARE

Patients

Seq Age Sex Outcome Treatment
1