FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2191666
·
Received July 27, 2011
Report
- Report Number
- 1720753-2011-20478
- Event Type
- Malfunction
- Date Received
- July 27, 2011
- Date of Event
- July 19, 2011
- Report Date
- July 27, 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 GE SERVICE REP CONDUCTED AN ONSITE INVESTIGATION. THE REAL TIME OPERATING SYSTEM BOARD, THE GENERATOR INTERFACE BOARD, THE SYSTEM INTERFACE BOARD, AND THE FLUORO FUNCTIONS BOARD WERE REPLACED. THE SOFTWARE AND CALIBRATION FILES WERE RELOADED. THE SYSTEM WAS TESTED AND OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT BOOT UP. 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 |