BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2800

    MDR report key: 3792378 · Received January 18, 2014

    Report

    Report Number
    1720753-2014-00642
    Event Type
    Malfunction
    Date Received
    January 18, 2014
    Date of Event
    December 17, 2013
    Report Date
    January 17, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE TECH CONTROLLER CONNECTIONS WERE EVALUATED AND REPAIRED. THE SYSTEM NODES WERE ALSO REBUILT. 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 THE TECH CONSOLE WAS NOT WORKING PROPERLY. FURTHER INFO FROM THE FSE DETERMINED THAT THE SYSTEM FAILED TO BOOT TO A USABLE STATE. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    46458 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

    Patients

    Seq Age Sex Outcome Treatment
    1