FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3190048
·
Received June 18, 2013
Report
- Report Number
- 1720753-2013-07352
- Event Type
- Malfunction
- Date Received
- June 18, 2013
- Date of Event
- June 16, 2013
- Report Date
- June 19, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IS
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY PLUGS WERE RESEATED AND ALL GENERATOR BOARDS WERE RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WAS UNABLE TO PRODUCE FLUOROSCOPY AND WAS DISPLAYING AN X-RAY DISABLED ERROR MESSAGE. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 276107 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |