FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2031289 · Received March 16, 2011

Report

Report Number
1720753-2011-02378
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
WI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE GE REPRESENTATIVE CONDUCTED AN ONSITE INVESTIGATION. THE ERROR COULD NOT BE DUPLICATED AND NO SYSTEM FAILURE WAS FOUND. THE SYSTEM WAS TESTED AND IS OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SCREEN WENT BLANK AND NO IMAGE WAS PRODUCED ON THE 9800 SYSTEM. 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