FDA Adverse Event
Malfunction
Summary report: N
9600
MDR report key: 2241113
·
Received August 17, 2011
Report
- Report Number
- 1720753-2011-21125
- Event Type
- Malfunction
- Date Received
- August 17, 2011
- Date of Event
- August 11, 2011
- Report Date
- August 17, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PROVIDED OVER THE PHONE TECHNICAL SUPPORT FOR THE CUSTOMER AND ANSWERED QUESTIONS REGARDING THE SRAM. THE CUSTOMER REPORTED THE SYSTEM WAS WORKING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT DURING A PROCEDURE THE SYSTEM'S WORKSTATION TURNED ON BUT THE C-ARM WOULD NOT BOOT UP. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9600 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |