FDA Adverse Event
Malfunction
Summary report: N
ITRAK 3500
MDR report key: 2943200
·
Received January 21, 2013
Report
- Report Number
- 1720753-2013-00851
- Event Type
- Malfunction
- Date Received
- January 21, 2013
- Date of Event
- December 10, 2012
- Report Date
- January 21, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REP EVALUATED THE SYSTEM AND PLACED A TRANSMITTER CABLE ON ORDER, BUT NO CONCLUSION CAN BE DRAWN AS REPAIR INFO IS NOT AVAILABLE.
Description of Event or Problem · 1
IT WAS REPORTED PINS WITHIN THE TRANSMITTER CABLE WERE DAMAGED RESULTING IN A COMPLETE LOSS OF NAVIGATION FUNCTIONALITY. THERE IS NO REPORT OF PT INJURY OR DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 28978 | ITRAK 3500 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | ITRAK 3500 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |