FDA Adverse Event Malfunction Summary report: N

7900

MDR report key: 3823462 · Received March 26, 2014

Report

Report Number
9680959-2014-00404
Event Type
Malfunction
Date Received
March 26, 2014
Date of Event
March 10, 2014
Report Date
March 26, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS GMBH
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE CABLES IN POWER SUPPLY MODULE WERE EVALUATED AND RESEATED. 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 FAILED TO BOOT 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
176807 7900 FLOUROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

Patients

Seq Age Sex Outcome Treatment
1