FDA Adverse Event
Malfunction
Summary report: N
9600
MDR report key: 2030512
·
Received March 9, 2011
Report
- Report Number
- 1720753-2011-02055
- Event Type
- Malfunction
- Date Received
- March 9, 2011
- Date of Event
- February 28, 2011
- Report Date
- March 9, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE MFR'S SERVICE REP INSTRUCTED THE CUSTOMER OVER THE PHONE TO TIGHTEN THE LOOSE CONNECTIONS IN THE MAIN POWER PLUG. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE 9600 SYSTEM WOULD SHUT DOWN ON ITS OWN. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9600 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |