FDA Adverse Event Malfunction Summary report: N

IMAGECAST PACS

MDR report key: 3192175 · Received June 20, 2013

Report

Report Number
3004526608-2013-00003
Event Type
Malfunction
Date Received
June 20, 2013
Report Date
May 21, 2013
Manufacturer
GE HEALTHCARE INTEGRATED IT SOLUTIONS
Product Code
LLZ
PMA / PMN Number
K052618
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PT DATA NOT CURRENTLY AVAILABLE. DATE OF MANUFACTURE UNK. A F/U REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE MEASUREMENTS FROM THE SIEMENS MODALITY ARE INCORRECT. THERE WAS NO REPORTED PT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
281128 IMAGECAST PACS LLZ GE HEALTHCARE INTEGRATED IT SOLUTIONS

Patients

Seq Age Sex Outcome Treatment
1