FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3896803
·
Received May 19, 2014
Report
- Report Number
- 1720753-2014-04308
- Event Type
- Malfunction
- Date Received
- May 19, 2014
- Date of Event
- May 13, 2014
- Report Date
- May 19, 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 SYSTEM INTERFACE BOARD, VIDEO CONTROLLER BOARD AND ASSOCIATED CABLING WERE EVALUATED AND RESEATED. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
THE FSE REPORTED THAT THE SYSTEM WOULD NOT MAKE X-RAYS. THIS RESULTED IN A TOTAL LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 297724 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |