FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2833308
·
Received October 26, 2012
Report
- Report Number
- 1720753-2012-08728
- Event Type
- Malfunction
- Date Received
- October 26, 2012
- Date of Event
- October 16, 2012
- Report Date
- October 26, 2012
- 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 PERFORMED AN ONSITE INVESTIGATION. THE FOLLOWING SYSTEM COMPONENTS WERE RESEATED: THE GIB, FFB AND HV SUPPLY REGULATOR BOARDS AND THE CONNECTORS AND FUSES ON THE POWER SIGNAL INTERFACE BOARD. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE FIELD ENGINEER REPORTED THAT THE SYSTEM DISPLAYED COMMUNICATION FAILURE ERROR MESSAGES. THIS ERROR MESSAGE IS LIKELY TO RESULT IN A SYSTEM LOCK UP OR PREVENT THE SYSTEM FROM BOOTING TO A USABLE STATE. THERE IS NO REPORT OF PT INJURY.
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 |