FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3913413
·
Received May 14, 2014
Report
- Report Number
- 1720753-2014-04184
- Event Type
- Malfunction
- Date Received
- May 14, 2014
- Date of Event
- May 2, 2014
- Report Date
- May 14, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE POWER SIGNAL INTERFACE PCB AND BATTERY CHARGER PCB WERE EVALUATED AND REPLACED. THE MAINFRAME BATTERY PACKS WERE ALSO REPLACED AND THE F3 FUSE WAS CONFIRMED TO BE OPERATING CORRECTLY. 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 FAILED TO BOOT TO A USABLE STATE AND EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 288296 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |