FDA Adverse Event Malfunction Summary report: N

2600

MDR report key: 2903321 · Received December 14, 2012

Report

Report Number
1720753-2012-10497
Event Type
Malfunction
Date Received
December 14, 2012
Date of Event
December 5, 2012
Report Date
December 14, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. 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 NO FLUORO, LOSS OF X-RAY FUNCTION. THERE IS NO REPORT OF PT INJURY OR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 2600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2600

Patients

Seq Age Sex Outcome Treatment
1