FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3870015
·
Received April 28, 2014
Report
- Report Number
- 1720753-2014-03707
- Event Type
- Malfunction
- Date Received
- April 28, 2014
- Date of Event
- March 26, 2014
- Report Date
- April 28, 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 REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. ON SITE INVESTIGATION REVEALED THAT NO CAUSE COULD BE DETERMINED. THE RTOS (REAL TIME OPERATING SYSTEM) AND GPOS (GENERAL PURPOSE OPERATING SYSTEM) CPU PCB ASSEMBLIES WERE RESEATED DURING THE SERVICE EVENT. THE SYSTEM SOFTWARE WAS ALSO RELOADED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WAS NOT FUNCTIONING PROPERLY. FURTHER INFORMATION WAS RECEIVED FROM THE FSE INDICATING THAT THE DEVICE FAILED TO PROPERLY SAVE AND RECALL PATIENT IMAGE DATA. NO PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 253767 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |