FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2041541
·
Received March 24, 2011
Report
- Report Number
- 1720753-2011-02782
- Event Type
- Malfunction
- Date Received
- March 24, 2011
- Date of Event
- February 24, 2011
- Report Date
- March 24, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE ROTATIONAL POTENTIOMETER WAS REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS FOUND TO BE WORKING AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE 9900 SYSTEM JOYSTICK WOULD NOT WORK. NO PATIENT 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 |