FDA Adverse Event Malfunction Summary report: N

9600

MDR report key: 3823218 · Received March 20, 2014

Report

Report Number
1720753-2014-02558
Event Type
Malfunction
Date Received
March 20, 2014
Date of Event
February 28, 2014
Report Date
March 20, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE KEYSWITCH WAS EVALUATED AND IDENTIFIED AS REQUIRING REPLACEMENT. NO CONCLUSION CAN BE DRAWN AS CONCLUSIVE REPAIR INFORMATION IS UNAVAILABLE AT THIS TIME AND NO ADDITIONAL SERVICE INFORMATION WAS PROVIDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM FAILED TO POWER 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
167366 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

Patients

Seq Age Sex Outcome Treatment
1