BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2800

    MDR report key: 3791960 · Received January 3, 2014

    Report

    Report Number
    1720753-2014-00050
    Event Type
    Malfunction
    Date Received
    January 3, 2014
    Date of Event
    December 9, 2013
    Report Date
    January 3, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS, SLC
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE KV CONTROLLER PCB 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 THERE WAS A COMMUNICATION FAILURE ERROR MESSAGE. THIS ERROR IS LIKELY TO RESULT IN A SYSTEM LOCK UP, NO BOOT, OR SHUT DOWN DEPENDING ON WHEN THE LOSS OF COMMUNICATION OCCURRED. THERE IS NO REPORT OF A PATIENT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4172 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS, SLC 2800

    Patients

    Seq Age Sex Outcome Treatment
    1