FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 1852044 · Received September 28, 2010

Report

Report Number
1720753-2010-03231
Event Type
Malfunction
Date Received
September 28, 2010
Date of Event
August 26, 2010
Report Date
September 28, 2010
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FAILURE COULD NOT BE DUPLICATED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE 2800 SYSTEM TABLE WOULD NOT MOVE DURING A CASE. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

Patients

Seq Age Sex Outcome Treatment
1