FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3982743 · Received July 24, 2014

Report

Report Number
1720753-2014-06354
Event Type
Malfunction
Date Received
July 24, 2014
Date of Event
July 8, 2014
Report Date
July 25, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC0
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE GENERATOR BATTERY WAS REPLACED AND THE HIGH VOLTAGE CABLE WAS CLEANED AND GREASED 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 CHARGER FAILED MESSAGES, KV ON IN ERRORS, AND HEARING A LOUD BANG AT TIME OF ERROR. THIS RESULTED IN AN INTERMITTENT, RECOVERABLE LOSS OF IMAGING FUNCTIONALITY. THIS COULD CAUSE PROCEDURAL DELAYS. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
434999 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC0 9900

Patients

Seq Age Sex Outcome Treatment
1