FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3102156 · Received May 3, 2013

Report

Report Number
1720753-2013-05674
Event Type
Malfunction
Date Received
May 3, 2013
Date of Event
April 27, 2013
Report Date
May 3, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SVC.

Description of Event or Problem · 1

IT WAS REPORTED THE SYS FAILED TO BOOT UP. THERE WERE NO REPORTS OF PT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
195516 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1