FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3101455
·
Received May 2, 2013
Report
- Report Number
- 1720753-2013-05567
- 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
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE JOYSTICK WAS IDENTIFIED AS REQUIRING REPLACEMENT. A LOANER JOYSTICK WAS GIVEN TO THE CUSTOMER UNTIL A REPLACEMENT COULD BE ORDERED. NO FURTHER REPAIR INFORMATION IS AVAILABLE AT THIS TIME.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE RUI (REMOTE USER INTERFACE/ JOYSTICK) WAS NOT WORKING. THIS IS CRITICAL FOR THE TYPE OF THE IMAGING THE MOTORIZED C-ARM WAS DESIGNED FOR. THE SYSTEM WOULD BE EFFECTIVELY UNUSABLE. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 193161 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |