FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3791875
·
Received January 3, 2014
Report
- Report Number
- 1720753-2014-00099
- Event Type
- Malfunction
- Date Received
- January 3, 2014
- Date of Event
- December 17, 2013
- Report Date
- January 3, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REP EVALUATED THE SYSTEM AND EVALUATED AND REPLACED THE RTOS AND RELOADED THE NODES BUT NO CONCLUSION CAN BE DRAWN AS FURTHER REPAIR INFO IS NOT AVAILABLE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED A COMMUNICATION FAILURE ERROR MESSAGE. THIS RESULTED IN A LOSS OF IMAGING FUNCTIONALITY. THERE IS NOT REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 5184 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |