FDA Adverse Event
Malfunction
Summary report: N
ADVANTX LC+
MDR report key: 3001948
·
Received February 12, 2013
Report
- Report Number
- 9611343-2013-00004
- Event Type
- Malfunction
- Date Received
- February 12, 2013
- Date of Event
- January 17, 2013
- Report Date
- January 17, 2013
- Manufacturer
- GE MEDICAL SYSTEMS SCS
- Product Code
- IZO
- PMA / PMN Number
- K931049
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
GE HEALTHCARE'S INVESTIGATION IS ONGOING. A F/U REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED. (B)(4). REFERENCE MDR 9611343-2011-00001.
Description of Event or Problem · 1
IT WAS REPORTED THAT IMAGES ON THE EXAM ROOM LIVE MONITOR WERE FLICKERING. THIS ISSUE MAY RESULT IN A DEGRADED IMAGE QUALITY THAT CAN PREVENT COMPLETION OF AN EXAM. NO PT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 62193 | ADVANTX LC+ | GENERATOR HIGH-VOLTAGE X-RAY DIAGNOSTIC | IZO | GE MEDICAL SYSTEMS SCS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |