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 |