FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3241051
·
Received July 18, 2013
Report
- Report Number
- 1720753-2013-08287
- Event Type
- Malfunction
- Date Received
- July 18, 2013
- Date of Event
- July 3, 2013
- Report Date
- July 18, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NO CONCLUSION CAN BE DRAWN AS REPAIR INFORMATION IS UNAVAILABLE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SCREEN WENT GRAY. THIS RESULTED IN A RECOVERABLE 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 |
|---|---|---|---|---|---|---|---|
| 335314 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |