FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3050506 · Received April 8, 2013

Report

Report Number
1720753-2013-04711
Event Type
Malfunction
Date Received
April 8, 2013
Date of Event
April 2, 2013
Report Date
April 8, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE PS1 AND PS2 CONNECTORS WERE REPAIRED, ALL CIRCUIT BOARDS AND CONNECTORS WERE RESEATED AND THE SYSTEM SOFTWARE WAS UPDATED/RELOADED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED A COMMUNICATION FAILURE ERROR MESSAGE WHEN PUSHING THE FOOT PEDAL. THIS ERROR MESSAGE WILL LIKELY RESULT IN A SYSTEM LOCK-UP OR SHUT DOWN. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
144412 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1