FDA Adverse Event
Malfunction
Summary report: N
7700
MDR report key: 3811113
·
Received March 24, 2014
Report
- Report Number
- 9680959-2014-00397
- Event Type
- Malfunction
- Date Received
- March 24, 2014
- Date of Event
- February 10, 2014
- Report Date
- March 24, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS GMBH
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PL
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER DECLINED TO HAVE THE SERVICE REP FIX THE SYSTEM. NO FURTHER INFO IS AVAILABLE.
Description of Event or Problem · 1
THE FE REPORTED THE SYSTEM WAS UNABLE TO MAKE EXPOSURES ABOVE 60 KVP. THIS RESULTED IN AN INTERMITTENT, RECOVERABLE LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 172791 | 7700 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS GMBH | 7700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |