FDA Adverse Event
Malfunction
Summary report: N
8800
MDR report key: 3792397
·
Received January 18, 2014
Report
- Report Number
- 1720753-2014-00638
- Event Type
- Malfunction
- Date Received
- January 18, 2014
- Date of Event
- January 8, 2014
- Report Date
- January 17, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER DECLINED TO HAVE THE SERVICE EVALUATE THE SYSTEM AND CANCELLED THE SERVICE CALL. THE CUSTOMER HAS DECIDED TO REPLACE THE DEVICE AND REFUSED FURTHER SERVICE. NO CONCLUSION CAN BE DRAWN AS CONCLUSIVE REPAIR INFO IS UNAVAILABLE AT THIS TIME AND NO ADD'L SERVICE INFO WAS PROVIDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THERE WAS AN "OVERLOAD FAULT" ERROR DISPLAYED. THIS ERROR IS LIKELY TO RESULT IN AN IMMEDIATE LOSS OF SYSTEM FUNCTIONALITY AND AN UN-COMMANDED SHUT DOWN. THERE IS NO REPORT OF PT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 46350 | 8800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 8800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |