FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3884269
·
Received May 20, 2014
Report
- Report Number
- 1720753-2014-04320
- Event Type
- Malfunction
- Date Received
- May 20, 2014
- Date of Event
- April 28, 2014
- Report Date
- May 20, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE SYSTEM SOFTWARE AND CALIBRATIONS WERE RELOADED BY THE INHOUSE BIOMED TECHNICIAN. THE INTERCONNECT CABLE WAS ALSO EVALUATED AND IDENTIFIED AS REQUIRING REPLACEMENT. THE CABLE WAS ORDERED FOR REPLACEMENT BY THE CUSTOMER. NO CONCLUSION CAN BE DRAWN AS CONCLUSIVE REPAIR INFO IS UNAVAILABLE AT THIS TIME AND NO ADD'L SVC INFO WAS PROVIDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM FAILED TO PROPERLY SAVE AND RECALL PT IMAGE DATA. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 298934 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |