FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 2042897 · Received March 25, 2011

Report

Report Number
1720753-2011-02804
Event Type
Malfunction
Date Received
March 25, 2011
Date of Event
March 21, 2011
Report Date
March 25, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE SURGE SUPPRESSOR WAS REPLACED 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 WOULD NOT POWER UP. 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