FDA Adverse Event Malfunction Summary report: N

9600

MDR report key: 1812085 · Received August 17, 2010

Report

Report Number
1720753-2010-02532
Event Type
Malfunction
Date Received
August 17, 2010
Date of Event
July 22, 2010
Report Date
August 17, 2010
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE CAMERA WAS CALIBRATED AND ADJUSTED AND THE DOSE RATE WAS ADJUSTED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE 9600 SYSTEM HAD POOR IMAGE QUALITY DURING A CASE. THE 9600 SYSTEM HAD TO BE REMOVED AND THE PROCEDURE WAS COMPLETED WITH ANOTHER SYSTEM. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

Patients

Seq Age Sex Outcome Treatment
1