FDA Adverse Event
Malfunction
Summary report: N
7900
MDR report key: 2073720
·
Received April 13, 2011
Report
- Report Number
- 9680959-2011-01058
- Event Type
- Malfunction
- Date Received
- April 13, 2011
- Date of Event
- March 24, 2011
- Report Date
- April 13, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS GMBH
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE MANUFACTURER'S SERVICE REPRESENTATIVE PERFORMED AN ON-SITE INVESTIGATION. THE IMAGE QUALITY ISSUE COULD NOT BE DUPLICATED. THE SOURCE OF THE IMAGE NOISE WAS NOT IDENTIFIED. A TUBE WAS WORKED ON. THE SYSTEM WAS TESTED AND OPERATES AS INTENDED. THIS EVENT COULD BE A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE 7900 SYSTEM HAD EXCESSIVE VOLTAGE AND UNCLEAR IMAGES. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 7900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS GMBH | 7900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |