FDA Adverse Event Malfunction Summary report: N

GENERAL ELECTRIC AMX II

MDR report key: 3250045 · Received July 23, 2013

Report

Report Number
MW5031068
Event Type
Malfunction
Date Received
July 23, 2013
Date of Event
July 15, 2013
Report Date
July 26, 2013
Manufacturer
GENERAL ELECTRIC COMPANY
Product Code
OXO
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

AT 20:10, RESPIRATORY THERAPIST WAS WALKING BY X-RAY MACHINE IN BACK HALLWAY BY RADIOLOGY DEPT. RT NOTED FLAMES COMING FROM THE MACHINE. HE CALLED A CODE RED AND THEN EXTINGUISHED THE FLAMES. AT 20:13 FIRE DEPARTMENT WAS NOTIFIED OF FIRE AT THE FACILITY THROUGH FACILITY FIRE ALARM SYSTEM, ARRIVED AT FACILITY SEVERAL MINUTES LATER. LARGE AMOUNT OF SMOKE NOTED IN CENTER HALLWAY AND BACK HALLWAY BY RESPIRATORY DEPT AND INTENSIVE CARE UNIT. ALL PT DOORS HAD BEEN CLOSED WHEN CODE RED WAS CALLED. ENGINEERING WAS CALLED. FIRE DEPT SET UP FANS TO ASSIST WITH BLOWING THE SMOKE OUT OF THE BUILDING, AND THEN THE FIRE DEPT CLEARED THE CODE RED. X-RAY MACHINE WAS REMOVED FROM THE BUILDING AND PLACED AT THE BACK OF THE FACILITY BY THE FIRE DEPT. NO LOSS OF MEDICAL GASES OR ELECTRICITY. NO PTS REQUIRED EVACUATION. PHOTOS TAKEN OF X-RAY MACHINE. FIRE ALARM SYSTEM WAS RE-SET AT 23:00. PREVENTIVE MAINTENANCE WAS LAST DONE ON X-RAY MACHINE IN (B)(6) 2013, WAS DUE FOR NEXT PM IN (B)(6) 2013. (B)(6) NOTIFIED ON (B)(6) 2013 AT 06:24 - (B)(4). NO PTS WERE INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343822 GENERAL ELECTRIC AMX II PORTABLE X-RAY MACHINE OXO GENERAL ELECTRIC COMPANY 46-155750G4 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other