FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 6015803 · Received October 10, 2016

Report

Report Number
1720753-2016-02718
Event Type
Malfunction
Date Received
October 10, 2016
Date of Event
September 15, 2016
Report Date
October 10, 2016
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
OWB
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE 5 VDC POWER SUPPLY CONNECTIONS WERE ADJUSTED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED AN ERROR THAT REQUIRED A REBOOT TO REGAIN SYSTEM FUNCTIONALITY. THERE IS NO REPORT OF DEATH OR SERIOUS INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
664824 9800 FLUOROSCOPIC X-RAY OWB GE OEC MEDICAL SYSTEMS (SLC) 9800 101570BI0

Patients

Seq Age Sex Outcome Treatment
1