FDA Adverse Event Malfunction Summary report: N

ADVANTX LC+

MDR report key: 2613423 · Received June 8, 2012

Report

Report Number
9611343-2012-00022
Event Type
Malfunction
Date Received
June 8, 2012
Date of Event
June 1, 2012
Report Date
June 1, 2012
Manufacturer
GE MEDICAL SYSTEMS SCS
Product Code
IZI
PMA / PMN Number
K931049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS MALFUNCTION WAS DETERMINED TO BE REPORTABLE AS THIS SAME MALFUNCTION HAS PREVIOUSLY CONTRIBUTED TO A SERIOUS INJURY WITHIN THE LAST TWO YEARS. REFERENCE MDR 9611343-2011-00001.

Description of Event or Problem · 1

IT WAS REPORTED THAT IMAGES ON THE EXAM ROOM LIVE MONITOR WERE FLICKERING. THE USER STATED THAT WHEN THE MONITOR WAS FLICKERING THE IMAGES WERE UNUSABLE. THIS ISSUE MAY RESULT IN A DEGRADED IMAGE QUALITY THAT CAN PREVENT COMPLETION OF AN EXAM. NO PATIENT INJURY OR DEATH REPORTED. 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 ADVANTX LC+ ANGIOGRAPHIC X-RAY SYSTEM IZI GE MEDICAL SYSTEMS SCS

Patients

Seq Age Sex Outcome Treatment
1