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