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 |