FDA Adverse Event
Malfunction
Summary report: N
8800
MDR report key: 3770105
·
Received January 28, 2014
Report
- Report Number
- 1720753-2014-00947
- Event Type
- Malfunction
- Date Received
- January 28, 2014
- Date of Event
- January 9, 2014
- Report Date
- January 28, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE CHAIN ADJUSTER WAS EVALUATED AND FOUND TO BE HITTING THE DETENT CAM. THE STEERING MECHANISMS AND COMPONENTS WERE LUBRICATED AND THE LINK TO THE DETENT CAM WAS ADJUSTED ONSITE INVESTIGATION REVEALED THAT NO CAUSE COULD BE DETERMINED. 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 THE STEERING MECHANISM WAS STIFF AND DIFFICULT TO MANIPULATE. NO PATIENT OR USER INJURY WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 61443 | 8800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 8800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |