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