FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2771812 · Received October 2, 2012

Report

Report Number
1720753-2012-07846
Event Type
Malfunction
Date Received
October 2, 2012
Date of Event
September 19, 2012
Report Date
October 2, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE BATTERIES WERE REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THERE WAS A PRECHARGE VOLTAGE ERROR. THIS ERROR WILL LIKELY PREVENT THE SYSTEM FROM BOOTING. THERE IS NO REPORT OF PATIENT INJURY OR DEATH.

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