FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 1970116
·
Received January 14, 2011
Report
- Report Number
- 1720753-2011-00288
- Event Type
- Malfunction
- Date Received
- January 14, 2011
- Date of Event
- December 17, 2010
- Report Date
- January 14, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE INSPECTED THE SYSTEM AND COULD NOT REPRODUCE ANY ERRORS. GE REPRESENTATIVE CHECKED THE 5VDC AT THE GENERATOR, VERIFIED POWER CORD CONNECTIONS ARE TIGHT, INSPECTED CANDLE STICKS (HIGH VOLTAGE CONNECTORS) FOR ARCING, AND REGREASED THEM, PERFORMED ARC TEST AND SYSTEM DID NOT ARC. REPLACED CONTROL PANEL PROCESSOR AND TESTED SYSTEM, COULD NOT DUPLICATE ANY ERRORS OR PROBLEMS. SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM DISPLAYED A CONTROL PANEL ERROR MESSAGE DURING A PROCEDURE. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |