FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1980132
·
Received January 24, 2011
Report
- Report Number
- 1720753-2011-00545
- Event Type
- Malfunction
- Date Received
- January 24, 2011
- Date of Event
- January 5, 2011
- Report Date
- January 24, 2011
- 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 REP EVALUATED THE SYSTEM AND FOUND THE 5 VOLTS GOING TO THE FLUORO FUNCTION BOARD TO BE SLIGHTLY LOW. GE REP ADJUSTED THE POWER SUPPLY VOLTAGE TO 5.2 VOLTS. TESTED AND VERIFIED PROPER OPERATION OF THE SYSTEM.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM DISPLAYED A COMMUNICATION ERROR BETWEEN THE GENERATOR AND THE WORKSTATION. NO PT 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 |