FDA Adverse Event
Malfunction
Summary report: N
RA600
MDR report key: 2160946
·
Received June 16, 2011
Report
- Report Number
- 3004526608-2011-00019
- Event Type
- Malfunction
- Date Received
- June 16, 2011
- Report Date
- April 6, 2011
- Manufacturer
- GE HEALTHCARE
- Product Code
- LLZ
- PMA / PMN Number
- K063628
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE. (B)(4).
Description of Event or Problem · 1
BECAUSE OF A GAP IN THE DIGITAL DICTAPHONE, THE IMPORT WORD "NO" WAS OMITTED BEFORE THE SENTENCE "SUSPECTED METASTATIC CHANGES WITH WASH OUT". THIS WAS DISCOVERED WHEN SIGNING THE REPORT THE FOLLOWING DAY, AND COULD BE CORRECTED WITHOUT ANY CONSEQUENCE ON THE CARE DECISIONS. THERE WAS NO REPORTED PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RA600 | LLZ | GE HEALTHCARE | UNK | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |