FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 6028767
·
Received October 13, 2016
Report
- Report Number
- 1720753-2016-02779
- Event Type
- Malfunction
- Date Received
- October 13, 2016
- Date of Event
- September 21, 2016
- Report Date
- October 13, 2016
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- OWB
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR INTERFACE (GIB) BATTERY, INTERCONNECT CABLE, GENERATOR INTERFACE (GIB) AND X-RAY CONTROLLER PCBS WERE EVALUATED AND REPLACED. NO CONCLUSION CAN BE DRAWN AS FURTHER SYSTEM ANALYSIS, TESTING OR REPAIR INFORMATION IS UNAVAILABLE AT THIS TIME AND NO ADDITIONAL SERVICE INFORMATION WAS PROVIDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM FAILED TO BOOT UP. NO PATIENT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 679492 | 9800 | FLUOROSCOPIC X-RAY | OWB | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |