FDA Adverse Event
Malfunction
Summary report: N
900
MDR report key: 3101510
·
Received May 2, 2013
Report
- Report Number
- 1720753-2013-05611
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Date of Event
- April 23, 2013
- Report Date
- May 2, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE EVALUATED THE SYSTEM AND RESET A CIRCUIT BREAKER. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM EXHIBITED A PRECHARGE ERROR. THIS ERROR IS LIKELY TO PRECLUDE THE SYSTEM FROM BOOTING UP. THERE IS NO REPORT OF PT INJURY OR DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 191716 | 900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |