FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1930058
·
Received December 2, 2010
Report
- Report Number
- 1720753-2010-04375
- Event Type
- Malfunction
- Date Received
- December 2, 2010
- Date of Event
- November 10, 2010
- Report Date
- November 30, 2010
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE SYSTEM WAS SET TO AUTO SAVE DURING THE SERVICE CALL. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE 9900 SYSTEM WOULD NOT SAVE IMAGE OUTSIDE OF A CASE. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |