FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1281072
·
Received January 8, 2009
Report
- Report Number
- 1720753-2008-26581
- Event Type
- Malfunction
- Date Received
- January 8, 2009
- Date of Event
- September 22, 2008
- Report Date
- October 3, 2008
- Manufacturer
- GE OEC MEDICAL SYSTEMS INC.
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE GE SERVICE REP FOUND THE TRANSFORMER WAS NOT TAPPED RIGHT. HE RETAPPED THE TRANSFORMER FOR 116 TO 121.9 VOLTS SINCE THE VOLTAGE IN SURGERY WAS MEASURING BETWEEN 117 TO 120V. AFTER RETAPPING TRANSFORMER, THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WAS NOT BOOTING UP. NO PATIENT 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 |