FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3963414
·
Received May 30, 2014
Report
- Report Number
- 1720753-2014-04587
- Event Type
- Malfunction
- Date Received
- May 30, 2014
- Date of Event
- May 9, 2014
- Report Date
- May 30, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NO SERVICE WAS PERFORMED AS THE CUSTOMER DECIDED TO CALL BACK IF THE PROBLEM REOCCURS. NO FURTHER INFORMATION IS AVAILABLE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED INTERMITTENT FAST STOP ACTIVATED ERROR MESSAGES. THIS CAUSES THE SYSTEM TO SHUTDOWN. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 320078 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |