FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 4122152
·
Received September 19, 2014
Report
- Report Number
- 1720753-2014-08025
- Event Type
- Malfunction
- Date Received
- September 19, 2014
- Date of Event
- September 3, 2014
- Report Date
- September 19, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS(SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. A COMPLETE SBS UPGRADE WAS INSTALLED. THE BACKPLANE MOUNT, BACKPLANE, SYSTEM INTERFACE, VIDEO CONTROLLER BOARD, SMART SWITCH ASSEMBLY, IMAGE PROCESSOR BOARD, GIB AND FFB BOARDS WERE EVALUATED AND REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM FAILED TO BOOT UP ATTRIBUTED TO A COMMUNICATION ERROR MESSAGE DISPLAY. THERE IS NO REPORT OF DEATH OR SERIOUS INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 583147 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS(SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |