FDA Adverse Event Malfunction Summary report: N

AMX

MDR report key: 25080887 · Received May 5, 2026

Report

Report Number
9616047-2026-00001
Event Type
Malfunction
Date Received
May 5, 2026
Date of Event
April 6, 2026
Report Date
May 5, 2026
Manufacturer
GE MEDICAL SYSTEMS MONTERREY MEXICO, S.A. DE C.V.
Product Code
IZL
UDI-DI
00195278003348
PMA / PMN Number
K210982
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE¿S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN COMPLETED. LEGAL MANUFACTURER: GE MEDICAL SYSTEMS, LLC - 3000 N GRANDVIEW BLVD. USA WAUKESHA, WI 53188.

Description of Event or Problem · 0

ON 06-APR-2026, A GE HEALTHCARE FIELD ENGINEER (FE) WAS ONSITE AT (B)(6) HOSPITAL (USA) PERFORMING SERVICE ON AN AMX NAVIGATE MOBILE X-RAY SYSTEM. DURING THE SERVICE ACTIVITY, THE FE OBSERVED THAT A FASTENER WAS MISSING FROM THE X-RAY TUBE COVER. THE MISSING FASTENER WAS CONFIRMED TO BE THE SAME COMPONENT ASSOCIATED WITH A PREVIOUSLY IDENTIFIED SENTINEL EVENT. NO PATIENT OR USER INJURY WAS REPORTED AT THE TIME OF DISCOVERY. BASED ON THE KNOWN ASSOCIATION WITH A PRIOR SENTINEL EVENT, THIS OCCURRENCE REPRESENTS A REPORTABLE MALFUNCTION, AS RECURRENCE OF THIS MALFUNCTION COULD POTENTIALLY LEAD TO A SERIOUS INJURY IF IT WERE TO RECUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
79971 AMX SYSTEM, X-RAY, MOBILE IZL GE MEDICAL SYSTEMS MONTERREY MEXICO, S.A. DE C.V. NAVIGATE 00195278003348

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown