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 |