FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2042987
·
Received March 25, 2011
Report
- Report Number
- 1720753-2011-02860
- Event Type
- Malfunction
- Date Received
- March 25, 2011
- Date of Event
- December 16, 2010
- Report Date
- March 25, 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
THE MFR'S SVC REP PERFORMED AN ON-SITE INVESTIGATION. THE PRINTED CIRCUIT BOARD AND THE VORTEX DISPLAY ADAPTER WAS REPLACED. THE SYS WAS TESTED AND IS OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE MONITORS ON THE 9900 SYS WOULD NOT WORK. NO PT 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 |