FDA Adverse Event
Malfunction
Summary report: N
8800
MDR report key: 2243672
·
Received August 24, 2011
Report
- Report Number
- 1720753-2011-21325
- Event Type
- Malfunction
- Date Received
- August 24, 2011
- Date of Event
- August 4, 2011
- Report Date
- August 24, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN OVER THE PHONE EVALUATION. THE SYSTEM WAS RESTARTED AND THE CUSTOMER CONFIRMED THAT THE SYSTEM WAS WORKING AS INTENDED AND PUT BACK IN SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM COULD NOT PASS THE SELF CHECK AT START UP. NO PATIENT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 8800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 8800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |