FDA Adverse Event Malfunction Summary report: N

8800

MDR report key: 3792294 · Received January 10, 2014

Report

Report Number
1720753-2014-00384
Event Type
Malfunction
Date Received
January 10, 2014
Date of Event
October 30, 2013
Report Date
January 10, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE REPRESENTATIVE CONTACTED THE CUSTOMER BY PHONE AND DIRECTED THEM IN REPAIRING THE SYSTEM. THE CUSTOMER REINSTALLED THE DISPLAY BOARD FOR THE WORKSTATION. THE SYSTEM OPERATES AS INTENDED AND WAS RETURNED TO SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM WOULD NOT DISPLAY A USABLE IMAGE. 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
20567 8800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 8800

Patients

Seq Age Sex Outcome Treatment
1