FDA Adverse Event
Malfunction
Summary report: N
8800
MDR report key: 2101842
·
Received May 10, 2011
Report
- Report Number
- 9617766-2011-01021
- Event Type
- Malfunction
- Date Received
- May 10, 2011
- Date of Event
- April 25, 2011
- Report Date
- May 10, 2011
- Manufacturer
- GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR POWER SUPPLY AND THE FLUORO FUNCTIONS PRINTED CIRCUIT BOARD WERE REPLACED. THE NODES WERE FLASHED AND THE SYSTEM'S CONFIGURATION FILES WERE RELOADED. 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 SYSTEM WOULD DISPLAY A COMMUNICATION FAILURE ERROR MESSAGE. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 8800 | FLUOROSCOPIC X-RAY | JAA | GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD | 8800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |