FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3823440 · Received March 26, 2014

Report

Report Number
1720753-2014-02679
Event Type
Malfunction
Date Received
March 26, 2014
Date of Event
March 3, 2014
Report Date
March 26, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR DRIVE WAS EVALUATED AND REPLACED. A COMPLETE FILAMENT AND GENERATOR CALIBRATION WAS PERFORMED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

Description of Event or Problem · 1

THE FE REPORTED THAT THERE WAS A SATURATION FAULT ERROR. THIS MAY PREVENT THE SYSTEM FROM BOOTING UP. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
177861 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1