FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 1980046 · Received January 24, 2011

Report

Report Number
1720753-2011-00518
Event Type
Malfunction
Date Received
January 24, 2011
Date of Event
December 30, 2010
Report Date
January 24, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE VERTICAL LIFT BUTTON WAS CORRECTED BY THE CUSTOMER. THE VIDEO MONITOR CABLE CONNECTION WAS REPAIRED DURING THE SERVICE CALL. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED, AND PUT BACK INTO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE 9800 SYSTEM HAD A VERTICAL LIFT COLUMN BUTTON ISSUE AND THE IMAGE INTERMITTENTLY BLANKS OUT. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1