FDA Adverse Event Malfunction Summary report: N

CLINICAL INFORMATION CENTER

MDR report key: 2181060 · Received July 7, 2011

Report

Report Number
2124823-2011-00109
Event Type
Malfunction
Date Received
July 7, 2011
Date of Event
June 9, 2011
Report Date
July 7, 2011
Manufacturer
GE HEALTHCARE
Product Code
DXJ
PMA / PMN Number
K001112
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT TELEMETRY MONITORING WAS LOST ON APPROXIMATELY 10 PATIENTS FOR 4-6 HOURS. THERE WAS NO SERIOUS INJURY OR DEATH ASSOCIATED WITH THIS EVENT, NOR WAS MEDICAL INTERVENTION REQUIRED. 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 CLINICAL INFORMATION CENTER CENTRAL STATION DXJ GE HEALTHCARE

Patients

Seq Age Sex Outcome Treatment
1