FDA Adverse Event Malfunction Summary report: N

ADVANTX LC+

MDR report key: 2092886 · Received April 11, 2011

Report

Report Number
9611343-2011-00033
Event Type
Malfunction
Date Received
April 11, 2011
Date of Event
March 15, 2011
Report Date
April 11, 2011
Manufacturer
GE MEDICAL SYSTEMS
Product Code
IZI
PMA / PMN Number
K931049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS MALFUNCTION WAS DETERMINED TO BE REPORTABLE AS THIS SAME MALFUNCTION HAS PREVIOUSLY CONTRIBUTED TO A SERIOUS INJURY WITHIN THE LAST TWO YEARS. REFERENCE MDR 9611343-2011-00001.

Description of Event or Problem · 1

IT WAS REPORTED THAT IMAGES ON THE FRONTAL PLANE MONITOR WERE FLICKERING INTERMITTENTLY DURING FLUOROSCOPY EXPOSURES. THE HOSPITAL STATED THAT THE IMAGE SHRINKS. THIS ISSUES MAY RESULT IN A DEGRADED IMAGE QUALITY THAT CAN PREVENT COMPLETION OF AN EXAM. NO PT INJURY OR DEATH REPORTED. GE HEALTHCARE'S INVESTIGATION IS ONGOING. A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVANTX LC+ ANGIOGRAPHIC X-RAY SYSTEM IZI GE MEDICAL SYSTEMS

Patients

Seq Age Sex Outcome Treatment
1