FDA Adverse Event
Malfunction
Summary report: N
2600
MDR report key: 3823188
·
Received March 20, 2014
Report
- Report Number
- 1720753-2014-02568
- Event Type
- Malfunction
- Date Received
- March 20, 2014
- Date of Event
- March 11, 2014
- Report Date
- March 20, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE CONTACTED THE CUSTOMER BY PHONE AND DIRECTED THEM IN REPAIRING THE SYSTEM. THE CUSTOMER REPLACED THE FUSE ON THE TABLE SENSOR PCB. THE SYSTEM OPERATES AS INTENDED AND WAS RETURNED TO SERVICE.
Description of Event or Problem · 1
THE FSE REPORTED THAT THE SYSTEM WOULD NOT BOOT UP. THIS RESULTED IN A TOTAL LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT IF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 167720 | 2600 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 2600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |