FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3843335
·
Received March 14, 2014
Report
- Report Number
- 1720753-2014-02311
- Event Type
- Malfunction
- Date Received
- March 14, 2014
- Date of Event
- February 28, 2014
- Report Date
- March 14, 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 CHARGER BOARD WAS EVALUATED AND REPLACED. THE CHARGER OUTPUT WAS CALIBRATED. 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 EXHIBITED CHARGER FAILED ERROR MESSAGE UPON SYSTEM START UP. THIS ERROR PREVENTED THE SYSTEM FORM BOOTING TO A USABLE STATE. NO PT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 153298 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |