FDA Adverse Event Malfunction Summary report: N

6800

MDR report key: 3902790 · Received May 9, 2014

Report

Report Number
1720753-2014-04078
Event Type
Malfunction
Date Received
May 9, 2014
Date of Event
April 10, 2014
Report Date
May 9, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE POWER SUPPLIES AND COMMUNICATION BOARDS WERE EVALUATED AND REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM INTERMITTENTLY WOULD NOT PRODUCE X-RAYS. THIS RESULTED IN AN INTERMITTENT, RECOVERABLE 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
281772 6800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 6800

Patients

Seq Age Sex Outcome Treatment
1