FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3792011
·
Received January 14, 2014
Report
- Report Number
- 1720753-2014-00461
- Event Type
- Malfunction
- Date Received
- January 14, 2014
- Date of Event
- January 6, 2014
- Report Date
- January 14, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE SYSTEM SOFTWARE WAS EVALUATED AND RELOADED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SYSTEM INTERMITTENTLY WOULD NOT BOOT UP. THIS ISSUE WILL RESULT IN AN INTERMITTENT, RECOVERABLE LOSS OF IMAGING FUNCTIONALITY, HIC COULD RESULT IN PROCEDURAL DELAYS. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 36066 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |