FDA Adverse Event
Malfunction
Summary report: N
AVANCE
MDR report key: 6869475
·
Received September 15, 2017
Report
- Report Number
- 2112667-2017-01751
- Event Type
- Malfunction
- Date Received
- September 15, 2017
- Date of Event
- August 23, 2017
- Report Date
- September 15, 2017
- Manufacturer
- DATEX-OHMEDA, INC.
- Product Code
- BSZ
- PMA / PMN Number
- K032803
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
NO REPORT OF PATIENT INVOLVEMENT. THE CUSTOMER REQUESTED TECHNICAL SUPPORT FROM GE HEALTHCARE. IT WAS RECOMMENDED TO REPLACE THE COMPACT FLASH CARD.
Description of Event or Problem · 1
THE HOSPITAL REPORTED THE UNIT HAD A SYSTEM FAILURE DURING BOOT-UP. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 649878 | AVANCE | ANESTHESIA GAS MACHINE | BSZ | DATEX-OHMEDA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |