FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 4090031
·
Received August 18, 2014
Report
- Report Number
- 1720753-2014-07057
- Event Type
- Malfunction
- Date Received
- August 18, 2014
- Date of Event
- August 1, 2014
- Report Date
- August 18, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE CONNECTORS WERE RESEATED 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 THE SYSTEM HAD A CINE FAILURE ERROR ON BOOT UP RESULTING IN A LOSS OF IMAGING FUNCTIONALITY. THIS COULD RESULT IN A PROCEDURAL DELAY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 496303 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |