FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 1441343
·
Received August 18, 2009
Report
- Report Number
- 1720753-2009-02873
- Event Type
- Malfunction
- Date Received
- August 18, 2009
- Date of Event
- March 13, 2009
- Report Date
- April 3, 2009
- Manufacturer
- GE OEC MEDICAL SYSTEMS INC.
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THIS MDR IS RELATED TO GE HEALTHCARE COMPLAINT. THE GE SERVICE REP FOUND THAT THE CONNECTOR WAS WORN. HE COULD NOT DUPLICATE THE COLLIMATOR ERROR. THE REP REPLACED THE VIDEO CABLE AND CONNECTOR. HE THEN PERFORMED A DIAGNOSTIC TESTING ON THE COLLIMATOR AND CALIBRATED THE COLLIMATOR IRIS STOPS. THE SYSTEM FUNCTIONS AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE VIDEO CONNECTOR IN THE BACK OF THE WORK STATION WAS BROKEN. ALSO SYSTEM WAS BOOTED UP TO THE COLLIMATOR IRIS TO A LARGE ERROR. THE USER REBOOTED AND THE SYSTEM PERFORMED AS INTENDED.
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 |