FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 2081960 · Received April 5, 2011

Report

Report Number
1720753-2011-03238
Event Type
Malfunction
Date Received
April 5, 2011
Date of Event
March 29, 2011
Report Date
April 5, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MANUFACTURER'S SERVICE REPRESENTATIVE PERFORMED AN ON-SITE INVESTIGATION. THE CONTROL PANEL WAS DISASSEMBLED, CHECKED, AND REASSEMBLED AND THE POWER SUPPLY WAS RESEATED. THE SYSTEM WAS TESTED AND OPERATES AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE 2800 SYSTEM CONTROL PANEL WOULD NOT WORK. NO PATIENT 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