FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2862067 · Received November 29, 2012

Report

Report Number
1720753-2012-09844
Event Type
Malfunction
Date Received
November 29, 2012
Date of Event
November 15, 2012
Report Date
November 29, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR INTERFACE BOARD WAS 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 THE SYSTEM WOULD NOT BOOT UP. THERE WAS NO PT INJURY OR DEATH REPORTED.

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