FDA Adverse Event Malfunction Summary report: N

6800

MDR report key: 4801862 · Received May 26, 2015

Report

Report Number
1720753-2015-02232
Event Type
Malfunction
Date Received
May 26, 2015
Date of Event
May 12, 2015
Report Date
May 26, 2015
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE HARD DISK DRIVE WAS EVALUATED AND REPLACED. THE SYS SOFTWARE AND CALIBRATIONS WERE ALSO RELOADED DURING THE SVC EVENT TO VERSION 10. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SVC.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYS FAILED TO BOOT AND EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341032 6800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 6800 86-0296

Patients

Seq Age Sex Outcome Treatment
1