FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3823521
·
Received February 19, 2014
Report
- Report Number
- 1720753-2014-01631
- Event Type
- Malfunction
- Date Received
- February 19, 2014
- Date of Event
- February 6, 2014
- Report Date
- February 19, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE SYSTEM SOFTWARE WAS EVALUATED AND RELOADED. THE SYSTEM PCB'S WERE EVALUATED AND RESEATED. THE SYSTEM WAS RESTED AND FOUND TO BE WORKING AS INTENDED NAD RETURNED TO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER COMPLAINED OF SYSTEM FUNCTION ISSUES. THIS RENDERED THE SYSTEM UNUSABLE. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 104758 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |