FDA Adverse Event
Malfunction
Summary report: N
2800
MDR report key: 2041438
·
Received March 24, 2011
Report
- Report Number
- 1720753-2011-02727
- Event Type
- Malfunction
- Date Received
- March 24, 2011
- Date of Event
- March 16, 2011
- Report Date
- March 24, 2011
- 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
NO CONCLUSION CAN BE DRAWN AS REPAIR INFO IS UNAVAILABLE AND THE CUSTOMER CANCELLED THE SERVICE CALL. HOWEVER, NO REPORT OF PT OR STAFF INJURY WAS REPORTED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE 2800 SYSTEM PRODUCED A GENERATOR SYSTEMS ERROR. 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 |