FDA Adverse Event Malfunction Summary report: N

6800

MDR report key: 3791939 · Received January 3, 2014

Report

Report Number
1720753-2014-00056
Event Type
Malfunction
Date Received
January 3, 2014
Date of Event
October 14, 2013
Report Date
January 3, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS, SLC
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE ON/OFF POWER SWITCH WAS EVALUATED AND REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM FAILED TO POWER TO A USABLE STATE AND EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3845 6800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS, SLC 6800

Patients

Seq Age Sex Outcome Treatment
1