FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2042873 · Received March 25, 2011

Report

Report Number
1720753-2011-02810
Event Type
Malfunction
Date Received
March 25, 2011
Date of Event
March 2, 2011
Report Date
March 25, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. SYSTEM INTERFACE BOARD, IMAGE INTENSIFIER, AND THE CAMERA WERE REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND 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 POOR IMAGE QUALITY WITH INTERMITTENT CONTRAST AND BRIGHTNESS DURING A CASE. 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