FDA Adverse Event Malfunction Summary report: N

8800

MDR report key: 3962982 · Received June 23, 2014

Report

Report Number
1720753-2014-05347
Event Type
Malfunction
Date Received
June 23, 2014
Date of Event
June 6, 2014
Report Date
June 20, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE CONTROL PANEL PROCESSOR CONNECTIONS 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 FAILED TO A USABLE STATE EXIT EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
366077 8800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 8800

Patients

Seq Age Sex Outcome Treatment
1