FDA Adverse Event
Malfunction
Summary report: N
2800
MDR report key: 2042884
·
Received March 25, 2011
Report
- Report Number
- 1720753-2011-02803
- Event Type
- Malfunction
- Date Received
- March 25, 2011
- Date of Event
- March 11, 2011
- Report Date
- March 25, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY AND TABLE GENERATOR INTERFACE BOARD WERE REPLACED AND THE COLLIMATOR CABLE CONNECTION WAS REPAIRED 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 COLLIMATOR WOULD NOT COME UP AND THE MONITORS HAD NO DISPLAY. 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 |