FDA Adverse Event Malfunction Summary report: N

9600

MDR report key: 4002688 · Received July 9, 2014

Report

Report Number
1720753-2014-05794
Event Type
Malfunction
Date Received
July 9, 2014
Date of Event
June 16, 2014
Report Date
July 9, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE FE REPORTED THAT THE SYSTEM DOES NOT BOOT. THIS RESULTED IN A TOTAL LOSS OF IMAGING FUNCTIONALITY. THIS COULD CAUSE THE DELAY OR CANCELLATION OF A PROCEDURE. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
399215 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

Patients

Seq Age Sex Outcome Treatment
1