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