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 |