FDA Adverse Event Malfunction Summary report: N

AMINGO

MDR report key: 6223019 · Received January 4, 2017

Report

Report Number
2112667-2017-00021
Event Type
Malfunction
Date Received
January 4, 2017
Date of Event
December 4, 2016
Report Date
February 6, 2017
Manufacturer
DATEX-OHMEDA, INC.
Product Code
BSZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE UNIT WAS EVALUATED BY THE GEHC SERVICE DEPOT THE ERROR LOGS WERE REVIEWED AND INDICATED THAT THE CONNECTION BETWEEN THE POWER MANAGEMENT BOARD AND THE DISPLAY UNIT WAS LOST. GEHC WILL REPLACE THE CENTRAL PROCESSING UNIT.

Additional Manufacturer Narrative · 1

GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. PATIENT INFORMATION COULD NOT BE OBTAINED DUE TO COUNTRY PRIVACY LAWS. THE INITIAL REPORTER IS LOCATED OUTSIDE THE U.S., AND THEREFORE THIS INFORMATION IS NOT PROVIDED DUE TO COUNTRY PRIVACY LAWS. THE UNIT IS NOT SOLD IN THE USA BUT IS SIMILAR TO AVANCE 510(K) K032803. DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT, DURING A CASE, THE UNIT SHUT OFF. THERE WAS NO REPORTED PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
5670 AMINGO ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA, INC.

Patients

Seq Age Sex Outcome Treatment
1