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 |