FDA Adverse Event Malfunction Summary report: N

2800

MDR report key: 4152295 · Received October 2, 2014

Report

Report Number
1720753-2014-08373
Event Type
Malfunction
Date Received
October 2, 2014
Date of Event
September 16, 2014
Report Date
October 2, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE KV CONTROL BOARD WAS EVALUATED AND REPLACED. A COMPLETE GENERATOR CALIBRATION WAS PERFORMED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A GENERATOR ERROR DURING FLUORO AND THEY COULD NOT MAKE AN EXPOSURE. THE SYSTEM SHUTS DOWN WHEN THIS OCCURS, RESULTING IN A LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
614002 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

Patients

Seq Age Sex Outcome Treatment
1