FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1153645
·
Received September 11, 2008
Report
- Report Number
- 1720753-2008-22278
- Event Type
- Malfunction
- Date Received
- September 11, 2008
- Date of Event
- May 28, 2008
- Report Date
- June 6, 2008
- Manufacturer
- GE OEC MEDICAL SYSTEMS INC.
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE GE SERVICE REP RECALIBRATED THE SYSTEM MAG MODE TO BE WITHIN SPEC. SYSTEM FUNCTIONED AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE BEAM WAS NOT RESTRICTED TO INPUT PHOPHOR + OR - 3% SID SINGLE DIRECTION AND + OR - 4% SID COMBINED DIRECTION IN MAG 2" MODE. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |