FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3093409
·
Received April 26, 2013
Report
- Report Number
- 1720753-2013-05396
- Event Type
- Malfunction
- Date Received
- April 26, 2013
- Date of Event
- April 19, 2013
- Report Date
- April 26, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REP EVALUATED THE SYSTEM AND RECONFIGURED THE SYSTEM TO WORK WHILE AWAITING CUSTOMER APPROVAL OF QUOTE FOR REPLACEMENT OF THE CINE DRIVE. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED A 'CINE DISK NOT AVAILABLE' ERROR. THIS WOULD PREVENT THE CINE FUNCTION FROM OPERATING. A LOSS OF SUBTRACTION, ROAD-MAPPING, OR OTHER CRITICAL VASCULAR CINE FUNCTIONS COULD RESULT IN UNDUE PT DELAY OR DAMAGED VASCULATURE. 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 |
|---|---|---|---|---|---|---|---|
| 181658 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |