FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3101492
·
Received May 2, 2013
Report
- Report Number
- 1720753-2013-05588
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Date of Event
- April 25, 2013
- Report Date
- May 2, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REP EVALUATED THE SYSTEM AND REPAIRED AND RESEATED THE RUI PLUG CONNECTOR. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE RUI (REMOTE USER INTERFACE/JOYSTICK) COULD NOT BE CONNECTED TO THE SYSTEM. THIS RESULTED IN A LOSS OF MOTORIZED MOTION. WHEN THE MOTORIZED MOVEMENTS ARE COMPLETELY DOWN, THE CRANIAL AND CAUDAL MOVEMENTS ARE NOT AVAILABLE. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS COMPLAINT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 193165 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |