FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2101838 · Received May 10, 2011

Report

Report Number
1720753-2011-07164
Event Type
Malfunction
Date Received
May 10, 2011
Date of Event
April 20, 2011
Report Date
May 10, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE GENERATOR CABLE HEADS AND THE X-RAY TUBE WERE CHECKED AND CLEANED. THE DEFECTIVE FANS WERE REPLACED. 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 DURING FLUOROSCOPY THE SYSTEM PRODUCED A NOISE, "LIKE STRIKES", THE IMAGE WAS OUT OF FOCUS, AND AFTER RELEASING THE FLUOROSCOPY KEY THE SYSTEM CONTINUED TO EMIT X-RAYS. NO PATIENT 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