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