FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2900974 · Received December 13, 2012

Report

Report Number
1720753-2012-10406
Event Type
Malfunction
Date Received
December 13, 2012
Date of Event
November 30, 2012
Report Date
December 13, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE REPRESENTATIVE EVALUATED THE SYSTEM AND RESEATED THE FUSES. THE SYSTEM OPERATES AS INTENDED.

Description of Event or Problem · 1

THE FSE REPORTED THAT THE SYSTEM DISPLAYED, "COMMUNICATION ERROR." THIS ERROR MAY RESULT IN A SYSTEM LOCK UP, NO BOOT, OR SHUT DOWN SITUATION DEPENDING ON WHEN THE LOSS OF COMMUNICATION OCCURRED. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.

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