FDA Adverse Event Malfunction Summary report: N

8800

MDR report key: 2102124 · Received April 20, 2011

Report

Report Number
9617766-2011-00921
Event Type
Malfunction
Date Received
April 20, 2011
Date of Event
April 13, 2011
Report Date
April 20, 2011
Manufacturer
GE MEDICAL SYSTEMS (INDIA) PRIVATE, LTD. (GE PRIVATE)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MFR'S SERVICE REP PERFORMED AN ON-SITE INVESTIGATION. THE BATTERIES WERE REPLACED, AND THE FILAMENT WAS CALIBRATED. THE SYSTEM WAS TESTED AND IS OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE 8800 SYSTEM DISPLAYED AN ERROR MESSAGE UPON BOOT UP. NO PT 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. (GE PRIVATE) 8800

Patients

Seq Age Sex Outcome Treatment
1