FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3791734
·
Received January 21, 2014
Report
- Report Number
- 1720753-2014-00710
- Event Type
- Malfunction
- Date Received
- January 21, 2014
- Date of Event
- October 17, 2013
- Report Date
- January 21, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE CINE BRIDGE AND CINE HARD DISK DRIVE WERE EVALUATED AND RESEATED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
THE FSE REPORTED THAT THERE WAS A COMMUNICATION FAILURE ERROR MESSAGE DURING PERFORMANCE OF A PM. THIS ERROR RESULTED IN A LOCK UP DURING THE CINE ACQUISITION PROCESS. THERE IS NO REPORT OF A PT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 50931 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |