On my ESAM4500/Rialto espresso maker, the Generic Alarm indicated that a thermal fuse had blown. The message may indicate other problems though.
Thermal fuses exist to prevent the unit from overheating but I think they can also simply wear out over time. On my unit, when I took off the back, there was a U-shaped boiler clearly visible and on that boiler there was a small fuse with a wire on each side - i.e. an inline fuse. This was the one that had blown and was preventing the unit from working. I went to ereplacementparts.com, found the part via their diagrams (which are fantastic), replaced the fuse and voila - coffee!
I can't find my original posting of this answer (with pictures) but I could probably track the pictures down if you need them. It was not a complicated fix once I knew what needed to be replaced.
The part was: http://www.ereplacementparts.com/tco-p-695163.html
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