FDA Adverse Event
Malfunction
Summary report: N
9600
MDR report key: 2231966
·
Received September 1, 2011
Report
- Report Number
- 1720753-2011-11007
- Event Type
- Malfunction
- Date Received
- September 1, 2011
- Date of Event
- January 22, 2010
- Report Date
- September 1, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- IZL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE EVALUATED THE SYSTEM, AND REPLACED A CABLE. THE SYSTEM OPERATES AS INTENDED. THIS REPORT IS ONE OF 3431 RECORDS WITH THE PRODUCT CODE OF IZL BEING REPORTED IN RETROSPECTIVE SUMMARY REPORT (B)(4). THIS REPORT IS ONE OF 1761 RECORDS WITH A "LOCKUP" MALFUNCTION BEING REPORTED IN RETROSPECTIVE SUMMARY REPORT (B)(4). THIS REPORT IS ONE OF 8037 BEING REPORTED IN RETROSPECTIVE SUMMARY REPORT (B)(4). THESE RECORDS ARE BEING REPORTED LATE AS A RESULT OF A RETROSPECTIVE REVIEW OF THE QUALITY SYSTEM. THE MAJORITY OF THESE REPORTS INDICATE PATIENT INVOLVEMENT.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM LOCKED UP DURING USE. NO PATIENT OR USER INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9600 | IZL | IZL | GE OEC MEDICAL SYSTEMS (SLC) | 9600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |