FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3980120
·
Received July 2, 2014
Report
- Report Number
- 1720753-2014-05644
- Event Type
- Malfunction
- Date Received
- July 2, 2014
- Date of Event
- June 17, 2014
- Report Date
- July 2, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. ONSITE INVESTIGATION REVEALED THAT NO CAUSE COULD BE DETERMINED. SYS CONNECTIONS AND POWER SUPPLIES WERE EVALUATED AND CONFIRMED TO BE OPERATING WITHIN SPECIFICATION. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER RPEORTED THAT THE SYSTEM APPEARED TO CONTINUOUSLY BEEP AFTER THE RELEASE OF THE EXPOSURE SWITCH. X-RAY WAS NOT BEING PRODUCED AND THIS EVEN IS CONSISTENT WITH A SYS LOCK UP. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 388357 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |