FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3960092
·
Received May 29, 2014
Report
- Report Number
- 1720753-2014-04416
- Event Type
- Malfunction
- Date Received
- May 29, 2014
- Date of Event
- May 1, 2014
- Report Date
- May 22, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE BATTERIES WERE REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED ADN 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 ERROR MESSAGE AND THEREAFTER FAILED TO GENERATE X-RAY. THERE ARE NO REPORTS OF PATIENT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 315672 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |