FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3960457 · Received June 9, 2014

Report

Report Number
1720753-2014-04853
Event Type
Malfunction
Date Received
June 9, 2014
Date of Event
May 20, 2014
Report Date
June 9, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE MAINFRAME BATTERY PACKS 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 FAILED TO DISPLAY FLUOROSCOPIC EXPOSURES AND EXHIBITED INTERMITTENT FUNCTIONALITY. NO PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
335071 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1