BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3161707 · Received June 3, 2013

    Report

    Report Number
    1720753-2013-06713
    Event Type
    Malfunction
    Date Received
    June 3, 2013
    Date of Event
    May 22, 2013
    Report Date
    June 4, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE CONNECTORS TO THE PS1, POWER SIGNAL BOARD AND POWER RELAY BOARD CONTACTS AND CONNECTORS WERE CLEANED AND RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT WHEN PERFORMING FLUOROSCOPY, THE SYSTEM WOULD SHUT DOWN WITHOUT COMMAND AND REBOOT. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    242934 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1