FDA Adverse Event Malfunction Summary report: N

CIC PRO CLINICAL INFORMATION CENTER

MDR report key: 2081150 · Received April 14, 2011

Report

Report Number
2124823-2011-00045
Event Type
Malfunction
Date Received
April 14, 2011
Date of Event
March 17, 2011
Report Date
April 14, 2011
Manufacturer
GE HEALTHCARE
Product Code
DSI
PMA / PMN Number
K062976
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

A SITE REPORTED AN INTERMITTENT LOSS OF TELEMETRY MONITORING FOR APPROXIMATELY 100 BEDS FOR UP TO 12 HOURS DUE TO A PRESUMED NETWORK ACCESS POINT HARDWARE FAILURE. NO ALTERNATE MONITORING WAS ESTABLISHED DURING THIS TIME. THERE WERE NO PATIENT INJURIES REPORTED. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW UP REPORT WILL BE SUBMITTED 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