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 |