FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3874332
·
Received April 18, 2014
Report
- Report Number
- 1720753-2014-03416
- Event Type
- Malfunction
- Date Received
- April 18, 2014
- Date of Event
- April 9, 2014
- Report Date
- April 18, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE PS1 POWER SUPPLY WAS EVALUATED AND THE CALIBRATED TO THE OPTIMAL OPERATING VOLTAGE. THE GIB AND POWER MOTOR RELAY PCB ASSEMBLIES WERE ALSO EVALUATED AND REPLACED DURING THE SERVICE EVENT. 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 THERE WAS A COMMUNICATION FAILURE ERROR MESSAGE. THIS ERROR RESULTED IN THE SYSTEM BEING UNABLE TO CREATE FLUOROSCOPIC EXPOSURES. THERE IS NO REPORT OF A PATIENT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 237903 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |