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