FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3792151 · Received January 8, 2014

Report

Report Number
1720753-2014-00263
Event Type
Malfunction
Date Received
January 8, 2014
Date of Event
December 17, 2013
Report Date
January 8, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICES REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE IMAGE PROCESSOR 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 A DIAGNOSTIC FLUOROSCOPIC IMAGE WAS UNABLE TO BE VIEWED. NO PATIENT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
12525 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1