FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 1941305 · Received December 16, 2010

Report

Report Number
1720753-2010-04764
Event Type
Malfunction
Date Received
December 16, 2010
Date of Event
April 12, 2010
Report Date
December 16, 2010
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE BURNING SMELL COULD NOT BE DUPLICATED. THE LEG EXTENSION WAS CLEANED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE 2800 SYSTEM LEG EXTENSION WAS STUCK AND THERE WAS A BURNING SMELL COMING FROM THE SYSTEM. NO PT 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