FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3042526
·
Received April 3, 2013
Report
- Report Number
- 1720753-2013-04570
- Event Type
- Malfunction
- Date Received
- April 3, 2013
- Date of Event
- March 15, 2013
- Report Date
- April 3, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE POWER SUPPLY CONNECTORS WERE CLEANED, THE POWER SUPPLY VOLTAGE WAS ADJUSTED, AND THE POWER PLUG WAS TIGHTENED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE EXPOSURE FLUORO BUTTON FROZE DURING PROCEDURE AND STARTED BEEPING, AND THE SYSTEM REQUIRED A REBOOT. THE CUSTOMER'S DESCRIPTION IS INDICATIVE OF A SYSTEM LOCK UP. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 137414 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |