FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3182462
·
Received June 14, 2013
Report
- Report Number
- 1720753-2013-07149
- Event Type
- Malfunction
- Date Received
- June 14, 2013
- Date of Event
- June 6, 2013
- Report Date
- June 14, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE LEFT MONITOR WAS REPLACED DURING THE SVC CALL. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SVC.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SYS LEFT MONITOR WOULD GO TO SLEEP MODE AND THEN THE CUSTOMER HAD TO REBOOT THE SYS TO GET IT TO WORK AGAIN. THIS MAY CAUSE THE SYS TO BECOME INTERMITTENTLY UNUSABLE DUE TO THE LOSS OF THE LIVE FLUOROSCOPIC IMAGE. THERE WAS NO PT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 271813 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |