FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2093107
·
Received May 3, 2011
Report
- Report Number
- 1720753-2011-06891
- Event Type
- Malfunction
- Date Received
- May 3, 2011
- Date of Event
- April 4, 2011
- Report Date
- May 3, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE GE REPRESENTATIVE CONDUCTED AN ONSITE INVESTIGATION. THE NODES ON THE C-ARM WERE FLASHED AND RELOADED. THE SERVICE REPRESENTATIVE ORDERED A NEW FOOT SWITCH FOR THE CUSTOMER TO REPLACE. THE CUSTOMER REPORTS THAT THE SYSTEM OPERATES AS INTENDED. THIS MALFUNCTION MAY HAVE RESULTED IN A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE FOOT SWITCH ON THE SYSTEM WOULD STICK. NO PATIENT INJURY 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 |