FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 1141067 · Received September 3, 2008

Report

Report Number
1720753-2008-24413
Event Type
Malfunction
Date Received
September 3, 2008
Date of Event
July 28, 2008
Report Date
August 7, 2008
Manufacturer
GE OEC MEDICAL SYSTEMS INC.
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SYSTEM HAS A DEFECTIVE TUBE AND HV CABLE HAS BEEN DAMAGE. THE GE SERVICE REP REPLACED THE HIGH VOLTAGE CABLE AND TUBE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE TUBE HAD BEEN ARCING. THE PROBLEM OCCURRED WITH PATIENT ON THE TABLE AND UNDER ANESTHESIA. THE SYSTEM WORKED AFTER A REBOOT. THERE WAS NO INJURY TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1