FDA Adverse Event
Malfunction
Summary report: N
9600
MDR report key: 2231996
·
Received September 1, 2011
Report
- Report Number
- 1720753-2011-11817
- Event Type
- Malfunction
- Date Received
- September 1, 2011
- Date of Event
- May 20, 2008
- Report Date
- September 1, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- IZL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE EVALUATED THE SYSTEM AND REPLACED THE HARD DRIVE. SYSTEM OPERATES AS INTENDED. THIS REPORT IS ONE OF (B)(4) RECORDS WITH THE PRODUCT CODE OF IZL BEING REPORTED IN RETROSPECTIVE SUMMARY REPORT (B)(4). THIS REPORT IS ONE OF 6 RECORDS WITH A "DATA MIX" MALFUNCTION BEING REPORTED IN RETROSPECTIVE SUMMARY REPORT (B)(4). THIS REPORT IS ONE OF (B)(4) 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 MIXED UP IMAGES. 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 |