FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3943659 · Received April 30, 2014

Report

Report Number
1720753-2014-03796
Event Type
Malfunction
Date Received
April 30, 2014
Date of Event
April 10, 2014
Report Date
April 30, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR INTERFACE PCB WAS EVALUATED AND REPLACED. A COMPLETE SBC (SINGLE BOARD COMPUTER) REPAIR WAS PERFORMED. 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 WAS NOT OPERATING CORRECTLY IN SUBTRACTION MODE. A LOSS OF CINE, SUBTRACTION, ROAD-MAPPING, OR OTHER CRITICAL VASCULAR FUNCTIONS COULD RESULT IN DELAY OR TERMINATION/RESCHEDULING OF AN INTERVENTIONAL PROCEDURE. THERE IS NO REPORT OF INJURY OR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
258465 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1