FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2850578 · Received November 27, 2012

Report

Report Number
1720753-2012-09689
Event Type
Malfunction
Date Received
November 27, 2012
Date of Event
August 27, 2012
Report Date
November 27, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE VOLTAGE CONNECTORS WERE RESEATED AND THE GIB VOLTAGE WAS ADJUSTED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED A COMMUNICATION ERROR MESSAGE WHICH LOCKED UP THE SYSTEM. THE SYSTEM REGAINED FUNCTIONALITY AFTER IT WAS REBOOTED. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1