FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3860501 · Received April 15, 2014

Report

Report Number
1720753-2014-03262
Event Type
Malfunction
Date Received
April 15, 2014
Date of Event
March 27, 2014
Report Date
April 15, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE X-RAY SWITCH 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 PRODUCED UNCOMMANDED X-RAYS. 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
230617 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1