FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2941175 · Received January 18, 2013

Report

Report Number
1720753-2013-00818
Event Type
Malfunction
Date Received
January 18, 2013
Date of Event
January 4, 2013
Report Date
January 18, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FILAMENT DRIVE BOARD WERE REPLACED DURING THE SERVICE CALL. 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 THE SYSTEM EXPERIENCED PRECHARGE ERRORS. THIS ERROR IS LIKELY TO PREVENT THE SYSTEM FROM BOOTING TO A USABLE STATE. THERE IS NO REPORT OF PATIENT INJURY OR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
28387 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1