FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3871899
·
Received April 17, 2014
Report
- Report Number
- 1720753-2014-03372
- Event Type
- Malfunction
- Date Received
- April 17, 2014
- Date of Event
- March 27, 2014
- Report Date
- April 17, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE GIB 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 FE REPORTED GIB DISCONNECT MESSAGE IN ERROR LOG. THE CUSTOMER HAD TO REBOOT THE SYSTEM. THIS IS CONSISTENT WITH AN INTERMITTENT SYSTEM LOCKUP SITUATION. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 235928 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |