FDA Adverse Event Malfunction Summary report: N

INSTA TRAK 3500

MDR report key: 2100246 · Received May 16, 2011

Report

Report Number
1720753-2011-07362
Event Type
Malfunction
Date Received
May 16, 2011
Date of Event
May 4, 2011
Report Date
May 16, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
IZL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN OVER THE PHONE INVESTIGATION. THE CUSTOMER WAS INSTRUCTED TO REPLACE THE RECEIVER CABLE, AND RELOAD THE PT SCAN, AND THE TRACKER SHOWED ACTIVE. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED A TRACKING ERROR MESSAGE AND THAT THE MENU DISPLAYED THAT THE TRACKING WAS INACTIVE. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INSTA TRAK 3500 RADIOLOGICAL IMAGE PROCESSING IZL GE OEC MEDICAL SYSTEMS (SLC) INSTA TRAK 3500

Patients

Seq Age Sex Outcome Treatment
1