FDA Adverse Event Malfunction Summary report: N

8800

MDR report key: 3172135 · Received June 11, 2013

Report

Report Number
1720753-2013-06982
Event Type
Malfunction
Date Received
June 11, 2013
Date of Event
May 14, 2013
Report Date
June 11, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE SURGE SUPPRESSOR WAS REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT POWER ON. THIS RESULTED IN A TOTAL LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
263954 8800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 8800

Patients

Seq Age Sex Outcome Treatment
1