FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3101685
·
Received April 30, 2013
Report
- Report Number
- 1720753-2013-05483
- Event Type
- Malfunction
- Date Received
- April 30, 2013
- Date of Event
- April 18, 2013
- Report Date
- April 30, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR INTERFACE BOARD WAS REPLACED, THE PS1 POWER SUPPLY VOLTAGE WAS ADJUSTED, THE SYSTEM SOFTWARE WAS RELOADED AND THE SYSTEM INTERFACE CABLES WERE RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED COMMUNICATION ERROR MESSAGES. THIS ERROR MESSAGE WILL LIKELY CAUSE THE SYSTEM TO LOCK-UP OR SHUT DOWN OR PREVENT THE SYSTEM FROM BOOTING UP. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 187705 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |