FDA Adverse Event
Malfunction
Summary report: N
9600
MDR report key: 3860917
·
Received April 14, 2014
Report
- Report Number
- 1720753-2014-03204
- Event Type
- Malfunction
- Date Received
- April 14, 2014
- Date of Event
- March 24, 2014
- Report Date
- April 14, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE L-ARM ASSEMBLY 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
IT WAS REPORTED THAT THE L-ARM MOTOR WAS NOT WORKING CORRECTLY. THIS IS A LOSS OF MOTORIZED MOVEMENTS. COMPLETE LOSS OF MOTORIZED FUNCTIONALITY MAY RESULT IN INABILITY TO OBTAIN IMAGES. THERE IS NO REPORT OF DEATH OR SERIOUS INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 228616 | 9600 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |