FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2023486
·
Received March 1, 2011
Report
- Report Number
- 1720753-2011-01799
- Event Type
- Malfunction
- Date Received
- March 1, 2011
- Date of Event
- February 3, 2011
- Report Date
- March 1, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE MANUFACTURER'S SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE SERVICE REP RE-SEATED THE GENERATOR BOARDS, AND ADJUSTED THE POWER SUPPLY ON THE X-RAY CONTROLLER FROM 5.3V TO 5.15V. THE SYSTEM WAS TESTED AND IS OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE 9800 SYSTEM WOULD NOT DISPLAY AN IMAGE DURING X-RAY. 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 |