FDA Adverse Event Malfunction Summary report: N

7900

MDR report key: 3823291 · Received March 20, 2014

Report

Report Number
9680959-2014-00384
Event Type
Malfunction
Date Received
March 20, 2014
Date of Event
March 4, 2014
Report Date
March 20, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS GMBH
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 FUSE ON MC5 WAS EVALUATED AND REPLACED. 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 MONITORS WERE NOT WORKING. THIS ISSUE WOULD PREVENT THE LIVE IMAGE FROM BEING VIEWED, THEREBY MAKING THE SYSTEM UNSTABLE. THERE IS NO REPORT OF INJURY OR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
167733 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

Patients

Seq Age Sex Outcome Treatment
1