FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 3962932 · Received June 11, 2014

Report

Report Number
1720753-2014-04960
Event Type
Malfunction
Date Received
June 11, 2014
Date of Event
May 22, 2014
Report Date
June 11, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AND OVER THE PHONE INVESTIGATION. THE CABLE BETWEEN THE TABLE AND WORKSTATION WAS EVALUATED AND RESEATED. THE SYSTEM WAS TESTED, FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO 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 PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
345026 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

Patients

Seq Age Sex Outcome Treatment
1