GE DIGITAL ENERGY SG SERIES 20 KVA UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-26 for GE DIGITAL ENERGY SG SERIES 20 KVA UNK manufactured by Ge Consumer & Industrial Sa.

Event Text Entries

[131933237] 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.
Patient Sequence No: 0, Text Type: D, B5


MAUDE Entry Details

Report Number8209627
MDR Report Key8209627
Date Received2018-12-26
Date of Report2018-12-21
Date of Event2018-12-11
Date Facility Aware2018-12-11
Report Date2018-12-21
Date Reported to Mfgr2018-12-12
Date Added to Maude2019-01-02
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGE DIGITAL ENERGY
Generic NameSG SERIES 20KVA
Product CodeIZO
Date Received2018-12-26
Model NumberSG SERIES 20 KVA
Catalog NumberUNK
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age8 YR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerGE CONSUMER & INDUSTRIAL SA
Manufacturer AddressRIAZZINO (LOCARNO) CH-6595 SZ CH-6595


Patients

Patient NumberTreatmentOutcomeDate
001. Death 2018-12-26

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