FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 6055096
·
Received October 25, 2016
Report
- Report Number
- 1720753-2016-02914
- Event Type
- Malfunction
- Date Received
- October 25, 2016
- Date of Event
- September 30, 2016
- Report Date
- October 25, 2016
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- OWB
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. MULTIPLE SYSTEM PCB AND POWER SUPPLY CONNECTIONS WERE EVALUATED AND RESEATED. A COLLIMATOR CALIBRATION WAS ALSO DONE AND THE SYSTEM CONFIGURATION FILES WERE RELOADED. 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 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 |
|---|---|---|---|---|---|---|---|
| 705082 | 9900 | FLUOROSCOPIC X-RAY | OWB | GE OEC MEDICAL SYSTEMS (SLC) | 9900 | E2-0438 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |