FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3113285
·
Received May 8, 2013
Report
- Report Number
- 1720753-2013-05808
- 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
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE CONNECTORS AND CIRCUIT BOARDS WERE RESEATED, THE POWER PLUG COMPONENTS WERE RETIGHTENED AND THE SYSTEM SOFTWARE WAS RELOADED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM DISPLAYED GENERATOR AND COMMUNICATION FAILURE ERROR MESSAGES WHICH CAUSED THE SYSTEM TO LOCK UP. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 202310 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |