FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2900821
·
Received December 12, 2012
Report
- Report Number
- 1720753-2012-10367
- Event Type
- Malfunction
- Date Received
- December 12, 2012
- Date of Event
- November 27, 2012
- Report Date
- December 12, 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 REP EVALUATED THE SYSTEM AND ADJUSTED THE 5 VOLT POWER SUPPLY. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE FIELD ENGINEER REPORTED THAT THE SYSTEM DISPLAYED INTERMITTENT CONTROL PANEL ERRORS. THIS ERROR IS GENERATED WHEN THE SYSTEM CANNOT COMMUNICATE WITH THE C-ARM CONTROL PANELS. THIS ERROR CAUSES THE SYSTEM TO IMMEDIATELY SHUT DOWN. THERE IS NO REPORT OF PT INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.
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 |