FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2191173
·
Received July 19, 2011
Report
- Report Number
- 1720753-2011-20191
- Event Type
- Malfunction
- Date Received
- July 19, 2011
- Date of Event
- July 11, 2011
- Report Date
- July 19, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE CINE HARD DRIVE WAS REFORMATTED AND THE POWER CONNECTION CHECKED. THE CINE FUNCTIONS WERE CHECKED BY FLUORING IN CINE MODE AND SAVING AND REPLAYING CINE RUNS. 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 DISPLAYED A CINE DISK ERROR MESSAGE. THE CASE WAS COMPLETED WITH ANOTHER SYSTEM. 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 |