FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3162030
·
Received June 6, 2013
Report
- Report Number
- 1720753-2013-06798
- Event Type
- Malfunction
- Date Received
- June 6, 2013
- Date of Event
- May 29, 2013
- Report Date
- June 6, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE JOYSTICK WAS REPLACED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE JOYSTICK WAS BROKEN, RESULTING IN A LOSS OF MOTORIZED MOVEMENTS. COMPLETE LOSS OF THIS FEATURE WOULD RESULT IN THE LOSS OF FUNCTIONALITY THAT THIS SYSTEM WAS DESIGNED FOR RENDERING IT UNUSABLE. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 251653 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |