FDA Adverse Event Malfunction Summary report: N

C-ARM

MDR report key: 1842274 · Received August 27, 2010

Report

Report Number
9617766-2010-00501
Event Type
Malfunction
Date Received
August 27, 2010
Date of Event
August 3, 2010
Report Date
August 27, 2010
Manufacturer
GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD (GE PRIVATE)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE HIGH VOLTAGE CABLE WAS REPLACED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE SYSTEM DISPLAYED A GENERATOR ERROR MESSAGE DURING A PROCEDURE. NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 C-ARM FLUOROSCOPY XRAY JAA GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD (GE PRIVATE) 8800

Patients

Seq Age Sex Outcome Treatment
1