FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3802137 · Received December 30, 2013

Report

Report Number
1720753-2013-13867
Event Type
Malfunction
Date Received
December 30, 2013
Date of Event
December 11, 2013
Report Date
December 30, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE MAINFRAME SYSTEM BATTERIES WERE EVALUATED AND REPLACED. A FULL FILAMENT CALIBRATION WAS ALSO PERFORMED. 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 SYSTEM FAILED TO BOOT TO A USABLE STATE AND EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
679801 9800 FLOUROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS 9800

Patients

Seq Age Sex Outcome Treatment
1