FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3172041
·
Received June 10, 2013
Report
- Report Number
- 1720753-2013-06883
- Event Type
- Malfunction
- Date Received
- June 10, 2013
- Date of Event
- May 29, 2013
- Report Date
- June 10, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY VOLTAGE WAS ADJUSTED. THE SYS WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYS DISPLAYED INTERMITTENT COMMUNICATION FAILURE ERROR MESSAGES THAT CAUSED THE SYS TO STOP FLUOROING. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 261416 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |