FDA Adverse Event
Malfunction
Summary report: N
STENOSCOP
MDR report key: 3042657
·
Received April 2, 2013
Report
- Report Number
- 1720753-2013-04491
- Event Type
- Malfunction
- Date Received
- April 2, 2013
- Date of Event
- March 14, 2013
- Report Date
- April 2, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- EZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE COLLIMATOR WAS REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE COLLIMATOR LINEAR PLATES WOULD NOT HOLD IN THERE ALIGNED POSITION, THEY CLOSE BY THEMSELVES. THIS ISSUE COULD CAUSE THE SYSTEM TO BECOME UNUSABLE DUE TO THE INABILITY TO VIEW THE LIVE IMAGE. THERE WAS NO PT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 134801 | STENOSCOP | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | STENOSCOP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |