FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3101403
·
Received May 2, 2013
Report
- Report Number
- 1720753-2013-05572
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Date of Event
- April 18, 2013
- Report Date
- May 2, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE PS1 POWER SUPPLY CONNECTOR WAS RESEATED AND THE VOLTAGE WAS ADJUSTED. ALSO THE F9 FUSE WAS RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM DISPLAYED COMMUNICATION ERROR MESSAGES. THIS ERROR IS LIKELY TO RESULT IN A SYSTEM LOCK UP OR PREVENT THE SYSTEM FROM BOOTING TO A USABLE STATE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 192797 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |