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