FDA Adverse Event Malfunction Summary report: N

6600

MDR report key: 3964390 · Received June 19, 2014

Report

Report Number
1720753-2014-05231
Event Type
Malfunction
Date Received
June 19, 2014
Date of Event
May 30, 2014
Report Date
June 18, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY WAS ADJUSTED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED LINES ACROSS THE SCREEN AND THAT THE SYSTEM WASN'T WORKING. THE FSE STATED THAT THE SYSTEM WOULD NOT BOOT UP. THIS RESULTED IN A LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
359383 6600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 6600

Patients

Seq Age Sex Outcome Treatment
1