FDA Adverse Event Malfunction Summary report: N

INSTA TRAK 3500

MDR report key: 2170966 · Received June 30, 2011

Report

Report Number
1720753-2011-08694
Event Type
Malfunction
Date Received
June 30, 2011
Date of Event
June 21, 2011
Report Date
June 30, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
LLZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION AND ATTEMPTED TO PERFORM MANUAL ANATOMIC REGISTRATION BUT THE CUSTOMER INDICATED TRACKING PERFORMANCE WAS NOT ACCEPTABLE FOLLOWING REGISTRATION AND MADE THE DECISION NOT TO RELY ON THE SYSTEM FOR THIS CASE. NO ADDITIONAL SERVICE INFORMATION WAS PROVIDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM LOCKED UP. NO PT INJURY WAS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1