FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3192202
·
Received June 20, 2013
Report
- Report Number
- 1720753-2013-07379
- Event Type
- Malfunction
- Date Received
- June 20, 2013
- Date of Event
- May 29, 2013
- Report Date
- June 20, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE CABLE CONNECTORS WERE RESEATED 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
IT WAS REPORTED THE SYSTEM DISPLAYED A CONTROL PANEL ERROR MESSAGE THEREBY CAUSING THE SYSTEM TO NOT X-RAY. THIS MESSAGE CAUSES THE SYSTEM TO IMMEDIATELY SHUT DOWN. THERE WAS NO PATIENT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 280259 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |