FDA Adverse Event
Malfunction
Summary report: N
2800
MDR report key: 2802526
·
Received October 19, 2012
Report
- Report Number
- 1720753-2012-08457
- Event Type
- Malfunction
- Date Received
- October 19, 2012
- Date of Event
- October 2, 2012
- Report Date
- October 19, 2012
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE CAMERA, VIDEO CONTROLLER BOARD, AND THE TABLE GENERATOR INTERFACE BOARD 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 FRAME SYNCH ISSUES (MONITOR FLICKERS) AND THAT THE SYSTEM INTERMITTENTLY LOCKS UP. THERE IS NO REPORT OF PATIENT INJURY OR DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 2800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 2800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |