FDA Adverse Event Malfunction Summary report: N

2600

MDR report key: 2192702 · Received June 22, 2011

Report

Report Number
1720753-2011-08408
Event Type
Malfunction
Date Received
June 22, 2011
Date of Event
June 7, 2011
Report Date
June 22, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE GE SERVICE REPRESENTATIVE CONDUCTED AN ONSITE INVESTIGATION. THE REPORTED PROBLEM COULD NOT BE DUPLICATED. THE POWER SUPPLY WAS CHECKED. THE SYSTEM WAS TESTED AND OPERATES AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT PRODUCE AN IMAGE. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 2600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2600

Patients

Seq Age Sex Outcome Treatment
1