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