FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2192846 · Received July 25, 2011

Report

Report Number
1720753-2011-20386
Event Type
Malfunction
Date Received
July 25, 2011
Date of Event
July 18, 2011
Report Date
July 25, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SVC REP PERFORMED AN ONSITE INVESTIGATION. THE SVC REP REPLACED THE UNINTERRUPTED POWER SUPPLY. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK IN SVC.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYS 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