FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3902552
·
Received May 8, 2014
Report
- Report Number
- 1720753-2014-04033
- Event Type
- Malfunction
- Date Received
- May 8, 2014
- Date of Event
- April 18, 2014
- Report Date
- May 8, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE FLUORO FUNCTIONS BOARD WAS 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
IT WAS REPORTED THE SYSTEM DISPLAYED A COMMUNICATION FAIL ERROR MESSAGE. THIS MESSAGE WILL LIKELY RESULT IN A BOOT UP FAILURE, LOCK UP, AND/OR SHUT DOWN. THERE ARE NO REPORTS OF PT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 279867 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |