CCS ECG TRUNK CABLE 2106309-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-01 for CCS ECG TRUNK CABLE 2106309-001 manufactured by Ge Healthcare Finland Oy.

Event Text Entries

[139605967] There was no patient involvement. Device identification number: there is not a specific cable involved; the issue affects ecg trunk cable part numbers 2106309-001 and 2106309-002; all lots. Unique device identifier: (b)(4). (b)(6). The affected part numbers were manufactured between 25-sep-2018 and 07-feb-2019. Ge healthcare's investigation of this issue is ongoing at this time. A product hold has been initiated for all affected product. A follow-up report will be submitted once the investigation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[139605968] The product failed during defibrillation testing; this issue was discovered internally. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610105-2019-00001
MDR Report Key8383015
Date Received2019-03-01
Date of Report2019-03-20
Date of Event2019-02-04
Date Mfgr Received2019-03-13
Device Manufacturer Date1970-01-01
Date Added to Maude2019-03-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKRISTOF SOOS
Manufacturer Street8200 W. TOWER AVE
Manufacturer CityMILWAUKEE WI
Manufacturer CountryUS
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number2126677-02/27/19-001-R
Event Type3
Type of Report0

Device Details

Brand NameCCS ECG TRUNK CABLE
Generic NameCABLE, ELECTRODE
Product CodeIKD
Date Received2019-03-01
Model Number2106309-001
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE FINLAND OY
Manufacturer AddressKUORTANEENKATU 2 HELSINKI FIN-00510 FI FIN-00510


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-01

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