FDA Adverse Event
Malfunction
Summary report: N
STENOSCOP
MDR report key: 3042658
·
Received April 2, 2013
Report
- Report Number
- 1720753-2013-04490
- Event Type
- Malfunction
- Date Received
- April 2, 2013
- Date of Event
- January 25, 2013
- Report Date
- April 2, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE LEFT MONITOR NEEDS TO BE REPLACED. THE REPORTED ISSUE IS CURRENTLY UNDER INVESTIGATION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED "EQUIPMENT NOT WORKING." THE FSE INDICATED THE LEFT MONITOR WAS NOT DISPLAYING IMAGES. THIS ISSUE WILL CAUSE THE SYSTEM TO BE UNUSABLE DUE TO THE INABILITY TO SEE THE LIVE IMAGE. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 134474 | STENOSCOP | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | STENOSCOP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |