FDA Adverse Event Malfunction Summary report: N

8800

MDR report key: 4222930 · Received August 6, 2014

Report

Report Number
1720753-2014-06791
Event Type
Malfunction
Date Received
August 6, 2014
Date of Event
July 24, 2014
Report Date
August 6, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE INTERCONNECT CABLE WAS REPLACED 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

IT WAS REPORTED THAT THE SYSTEM HAD A COMMUNICATION ERROR AT START-UP WHICH CAUSED THE SYSTEM TO LOCK UP. THIS RESULTED IN A LOSS OF IMAGING FUNCTIONALITY. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT DESCRIBED IN THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
460415 8800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 8800

Patients

Seq Age Sex Outcome Treatment
1