BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3811143 · Received March 24, 2014

    Report

    Report Number
    1720753-2014-02627
    Event Type
    Malfunction
    Date Received
    March 24, 2014
    Date of Event
    March 7, 2014
    Report Date
    March 24, 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

    A GE SERVICE REPRESENTATIVE PERFORMED AN OVER THE PHONE INVESTIGATION. THE CUSTOMER WAS ADVISED TO REPLACE GENERATOR DRIVE PCB. THE CUSTOMER REPLACED GENERATOR DRIVE PCB AND INFORMED FE THAT THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED AN A/D CHANNEL ERROR MESSAGE. THIS ERROR WILL PREVENT THE SYSTEM FROM BOOTING UP, RESULTING IN A 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
    172863 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1