FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2152520
·
Received June 27, 2011
Report
- Report Number
- 1720753-2011-08561
- Event Type
- Malfunction
- Date Received
- June 27, 2011
- Date of Event
- June 13, 2011
- Report Date
- June 27, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. A CLEAN LOAD OF SOFTWARE WAS PERFORMED AND THE SOFTWARE PARAMETERS WERE RELOADED. THE WIRING HARNESS IN THE WORKSTATION WAS ALSO REPLACED. 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 INTERMITTENTLY NOT SAVE IMAGES. 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 |