FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2102726
·
Received May 23, 2011
Report
- Report Number
- 1720753-2011-07549
- Event Type
- Malfunction
- Date Received
- May 23, 2011
- Date of Event
- May 10, 2011
- Report Date
- May 23, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE VOLTAGES WERE CHECKED AND THE CONNECTORS ON THE CAMERA AND MAINFRAME WERE RESEATED. 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 WHILE PERFORMING FLUOROSCOPY, THE SYSTEM'S LEFT MONITOR WENT WHITE. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |