FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3874746
·
Received April 24, 2014
Report
- Report Number
- 1720753-2014-03610
- Event Type
- Malfunction
- Date Received
- April 24, 2014
- Date of Event
- April 8, 2014
- Report Date
- April 24, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY AND THE RTOS WERE REPLACED 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 AN INTERMITTENT COMMUNICATION FAILED ERROR MESSAGE. THE SYSTEM WAS UNABLE TO PRODUCE X-RAY OR PERFORM ANY OTHER FUNCTION WHEN ERROR OCCURRED. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 248590 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |