FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 1441085 · Received August 18, 2009

Report

Report Number
1720753-2009-03176
Event Type
Malfunction
Date Received
August 18, 2009
Date of Event
March 26, 2009
Report Date
April 21, 2009
Manufacturer
GE OEC MEDICAL SYSTEMS INC.
Product Code
JAA
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B) (4). THE GE SERVICE REP REMOVED AND REPLACED THE X-RAY TUBE, HIGH VOLTAGE GENERATOR TANK, BACKPLANE AND IGBT SNUBBER ASSEMBLY. HE PERFORMED A GENERATOR CALIBRATION AND PERFORMED A FILAMENT CALIBRATION USING UTILITY SUITE. THE SYSTEM OPERATES AS INTENDED. (B) (4) 06/17/2009.

Additional Manufacturer Narrative · 1

(B) (4). THE GE SERVICE REP REMOVED AND REPLACED THE X-RAY TUBE, HIGH VOLTAGE GENERATOR TANK, BACKPLANE AND IGBT SNUBBER ASSEMBLY. HE PERFORMED A GENERATOR CALIBRATION AND PERFORMED A FILAMENT CALIBRATION USING UTILITY SUITE. THE SYSTEM OPERATES AS INTENDED. (B) (4) 06/17/2009.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM INTERMITTENTLY GOES TO MAX TECHNIQUE, AND THERE WAS NO IMAGE ON THE LEFT MONITOR.

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