FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3792015 · Received January 14, 2014

Report

Report Number
1720753-2014-00456
Event Type
Malfunction
Date Received
January 14, 2014
Date of Event
January 3, 2014
Report Date
January 14, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE SYSTEM FAILED TO EXPOSE. THERE ARE NO REPORTS OF PT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
36350 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1