BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3964718 · Received June 19, 2014

    Report

    Report Number
    1720753-2014-05188
    Event Type
    Malfunction
    Date Received
    June 19, 2014
    Date of Event
    June 2, 2014
    Report Date
    June 18, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN OVER THE PHONE INVESTIGATION. THE CUSTOMER WAS ADVISED TO RESET THE CB2 CIRCUIT BREAKER. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED FOLLOWING RESET. THE SYSTEM WAS PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT BOOT UP. THIS RESULTED IN A TOTAL LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    360923 9900 FLUOROSCOPICX-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1