FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3042473
·
Received April 3, 2013
Report
- Report Number
- 1720753-2013-04600
- Event Type
- Malfunction
- Date Received
- April 3, 2013
- Date of Event
- March 27, 2013
- Report Date
- April 3, 2013
- 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 REP EVALUATED THE SYSTEM AND REPLACED THE GENERATOR INTERFACE BOARD'S COIN BATTERY. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT INTERMITTENTLY, THE FIRST EXPOSURE WILL LOCK UP THE SYSTEM. (INTERMITTENT SYSTEM LOCK UP). 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 |
|---|---|---|---|---|---|---|---|
| 136906 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |