FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2031274 · Received March 16, 2011

Report

Report Number
1720753-2011-02376
Event Type
Malfunction
Date Received
March 16, 2011
Date of Event
February 21, 2011
Report Date
March 16, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE GE REPRESENTATIVE CONDUCTED AN ONSITE INVESTIGATION. THE LEMO CONNECTOR AND INTERCONNECT CABLE WERE REPLACED. THE SYSTEM WAS TESTED AND IS NOT OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE IMAGES DISPLAYED ON THE 9800 SYSTEM WERE NOT OF WHAT THEY WERE TAKING. 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