FDA Adverse Event
Death
Summary report: N
GE DIGITAL ENERGY
MDR report key: 8209627
·
Received December 26, 2018
Report
- Report Number
- 8209627
- Event Type
- Death
- Date Received
- December 26, 2018
- Date of Event
- December 11, 2018
- Report Date
- December 21, 2018
- Manufacturer
- GE CONSUMER & INDUSTRIAL SA
- Product Code
- IZO
- Report Source
- User Facility report
- Reporter Location
- OR, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 0
A GE DIGITAL ENERGY SG SERIES 20KVA UNINTERRUPTIBLE POWER SUPPLY (UPS) DID NOT DELIVER POWER TO AN INTERVENTIONAL IMAGING SYSTEM WHEN THE FACILITY LOST UTILITY POWER. THE LOSS OF POWER TO THE IMAGING SYSTEM RESULTED IN A DELAY AND RELOCATION OF THE PT'S PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1037517 | GE DIGITAL ENERGY | SG SERIES 20KVA | IZO | GE CONSUMER & INDUSTRIAL SA | SG SERIES 20 KVA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 0 | 77 YR | Death |