FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 4142873
·
Received September 12, 2014
Report
- Report Number
- 1720753-2014-07854
- Event Type
- Malfunction
- Date Received
- September 12, 2014
- Date of Event
- August 28, 2014
- Report Date
- September 12, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ME, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN INVESTIGATION. THE PS1 5 VDC POWER SUPPLY CONNECTORS WERE EVALUATED AND RESEATED. THE POWER SUPPLY VOLTAGE WAS OPTIMIZED TO SPECIFICATION. THE GENERAL PURPOSES OPERATING SYSTEM, REAL TIME OPERATING SYSTEM AND GENERATOR INTERFACE BOARD COIN BATTERIES WERE ALSO REPLACED DURING THE SERVICE EVENT. THE CMOS SETTINGS WERE ALSO RESET AND WORKSTATION FUSE WERE RESEATED. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THERE WAS A COMMUNICATION FAILURE ERROR MESSAGE. THIS ERROR RESULTED IN A TEMPORARY LOSS OF SYSTEM FUNCTIONALITY THAT WAS RECOVERED BY A SYSTEM REBOOT. THERE IS NO REPORT OF A PATIENT INJURY OR DEATH ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 565381 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |