FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2935209 · Received January 28, 2013

Report

Report Number
1720753-2013-01120
Event Type
Malfunction
Date Received
January 28, 2013
Date of Event
January 11, 2013
Report Date
January 28, 2013
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 SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE POWER SUPPLY AND POWER CABLE WERE REPLACED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM LOCKED UP DURING A PROCEDURE, DISPLAYING A COMMUNICATION ERROR MESSAGE ON THE SCREEN. THE CUSTOMER REBOOTED THE SYSTEM TO CLEAR ERROR AND FINISHED THE CASE. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
38329 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1