FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2892705
·
Received December 27, 2012
Report
- Report Number
- 1720753-2012-10821
- Event Type
- Malfunction
- Date Received
- December 27, 2012
- Date of Event
- September 7, 2012
- Report Date
- December 27, 2012
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AU
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE EVALUATED THE SYSTEM AND ADJUSTED THE 5 VOLT POWER SUPPLY, RELOADED CONFIGURATION FILES, AND REPLACED A COIN BATTERY. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM DISPLAYED A COMMUNICATION FAILURE ERROR MESSAGE. THE FSE NOTED NO COMMUNICATION BETWEEN THE GENERATOR AND THE WORKSTATION, AND THE SYSTEM WOULD NOT START UP. THERE IS NO REPORT OF PT INJURY OR DEATH.
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 |