FDA Adverse Event
Malfunction
Summary report: N
MPX GENERATOR
MDR report key: 45390
·
Received October 22, 1996
Report
- Report Number
- 45390
- Event Type
- Malfunction
- Date Received
- October 22, 1996
- Date of Event
- May 16, 1996
- Report Date
- October 22, 1996
- Manufacturer
- GENERAL ELECTRIC COMPANY
- Product Code
- IZO
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- LA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO CO THAT FLUOROSCOPY FAILED ON THE SYSTEM DURING A PTCA PROCEDURE. APPARENTLY IMAGE LOSS HAPPENED AFTER A VESSEL DISSECTION OCCURRED. THE PT UNDERWENT EMERGENCY OPEN HEART SURGERY TO REPAIR THE VESSEL DISSECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MPX GENERATOR | DIAGNOSTIC X-RAY | IZO | GENERAL ELECTRIC COMPANY | 46-240483G1 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR |