FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2960936
·
Received January 30, 2013
Report
- Report Number
- 1720753-2013-01200
- Event Type
- Malfunction
- Date Received
- January 30, 2013
- Date of Event
- January 21, 2013
- Report Date
- January 30, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FLUORO FUNCTIONS BOARD, THE CONTROL PANEL PROCESSOR BOARD AND THE POWER SUPPLY WERE REPLACED. THE SYSTEM WAS THEN FOUND TO BE WORKING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYS WOULD NOT BOOT UP. THERE IS NO REPORT OF PT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 40505 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |