FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3874592
·
Received April 22, 2014
Report
- Report Number
- 1720753-2014-03519
- Event Type
- Malfunction
- Date Received
- April 22, 2014
- Date of Event
- April 14, 2014
- Report Date
- April 22, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FLURO FUNCTIONS BOARD WAS REPLACED. THE FUSES, BOARDS, AND CONNECTORS WERE RESEATED DURING THE SERVICE CALL. 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 COMMUNICATION FAILED ERROR MESSAGES SEVERAL TIMES AND SYSTEM HAD TO BE REBOOTED TO CONTINUE WITH CASES. THIS ERROR RESULTS IN X-RAYS BEING DISABLED. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 243238 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |