FDA Adverse Event
Malfunction
Summary report: N
ADVANTX LEGACY CLASSICAL RADIOGRAPHY AND FLUOROSCOPY S
MDR report key: 490393
·
Received October 22, 2003
Report
- Report Number
- 490393
- Event Type
- Malfunction
- Date Received
- October 22, 2003
- Date of Event
- August 1, 2003
- Report Date
- August 1, 2003
- Manufacturer
- GENERAL ELECTRIC MEDICAL SYSTEMS
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A PT WAS ON A FLUORO TABLE FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY. THE FLUORO MACHINE/TUBE WARMED UP AS PER PROCEDURE. AFTER THE PT WAS SEDATED, FLUORO WAS PULLED INTO PLACE AND MALFUNCTIONED. IMAGES WERE UNABLE TO BE SEEN. BIOMEDICAL SERVICES WERE CALLED TO REPAIR THE MACHINE. THE PT WAS MOVED TO RECOVERY AND THE PROCEDURE WAS DONE LATER THAT AFTERNOON. GE MEDICAL SYSTEMS FOUND A BAD POWER SUPPLY, WHICH WAS REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ADVANTX LEGACY CLASSICAL RADIOGRAPHY AND FLUOROSCOPY S | RADIOGRAPHY AND FLUOROSCOPY | JAA | GENERAL ELECTRIC MEDICAL SYSTEMS | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Other |