FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1820056
·
Received August 23, 2010
Report
- Report Number
- 1720753-2010-02725
- Event Type
- Malfunction
- Date Received
- August 23, 2010
- Date of Event
- August 2, 2010
- Report Date
- August 23, 2010
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER CANCELLED CALL.
Description of Event or Problem · 1
CUSTOMER REPORTED THAT WHEN TAKING IMAGES, THEY HAVE LINES AND GRAINY IMAGES. THE AUTOMATIC EXPOSURE CONTROL IS NOT WORKING. SYSTEM DID NOT BOOT IN AUTO ABS MODE INTERMITTENTLY. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9900 | FLUORORSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |