FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3113249
·
Received May 8, 2013
Report
- Report Number
- 1720753-2013-05835
- Event Type
- Malfunction
- Date Received
- May 8, 2013
- Date of Event
- May 1, 2013
- Report Date
- May 8, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY CONNECTOR WAS REPAIRED DURING THE SVC CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PLACED BACK INTO SVC.
Description of Event or Problem · 1
THE CUSTOMER REPORTED, "THE SCREEN GAVE A CONTROL PANEL ERROR, COMMUNICATION ERROR". THIS ERROR CAUSES THE SYS TO IMMEDIATELY SHUT DOWN. THERE IS NO REPORT OF PT INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 202343 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |