FDA Adverse Event
Malfunction
Summary report: N
CESAR/C-STANDFLOOR-OMCP-VISUB-CCD (V5000)
MDR report key: 2061555
·
Received March 16, 2011
Report
- Report Number
- 3003768277-2011-00287
- Event Type
- Malfunction
- Date Received
- March 16, 2011
- Report Date
- February 21, 2011
- Manufacturer
- PHILIPS HEALTHCARE
- Product Code
- IZI
- PMA / PMN Number
- K984545
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE INVESTIGATION IS STILL ONGOING ON THIS EVENT. WHEN THE INVESTIGATION IS COMPLETED, A FOLLOW-UP REPORT WILL BE SENT TO THE FDA.
Description of Event or Problem · 1
THE CUSTOMER REPORTED, THE VIEWING SUB SYSTEM (VISUB) WOULDN'T BOOT UP. UNABLE TO GET VIEWING SYSTEM STARTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CESAR/C-STANDFLOOR-OMCP-VISUB-CCD (V5000) | IZI | PHILIPS HEALTHCARE | 72248 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |