FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 1021750
·
Received March 19, 2008
Report
- Report Number
- 1720753-2008-19777
- Event Type
- Malfunction
- Date Received
- March 19, 2008
- Date of Event
- March 6, 2008
- Report Date
- March 18, 2008
- Manufacturer
- GE OEC MEDICAL SYSTEMS INC.
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE MALFUNCTION WAS VERIFIED. RESET THE TRANSFORMER FOR CORRECT VOLTAGE OUT AND ADJUSTED THE 5VDC IN MAINFRAME. ADJUSTED THE COLLIMATOR. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PLACED BACK INTO SERVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE 9800 SYSTEM INTERMITTENTLY IS LOCKING UP. IT WAS NOTED THAT THE COLLIMATOR IS CLOSING DOWN, AND THE LIVE INDICATOR IS FLASHING ON THE LEFT MONITOR. THERE WAS NO REPORT OF PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS INC. | 9800 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |