FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3123973
·
Received May 17, 2013
Report
- Report Number
- 1720753-2013-06142
- Event Type
- Malfunction
- Date Received
- May 17, 2013
- Date of Event
- May 2, 2013
- Report Date
- May 17, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE LEMO CONNECTOR PINS WERE STRAIGHTENED AND ALL WORKSTATION CONNECTORS AND FUSES WERE RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED A CONTROL PANEL COMMUNICATION ERROR MESSAGE. THIS ERROR CAUSES THE SYSTEM TO IMMEDIATELY SHUT DOWN. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 218638 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |