FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2182778 · Received July 8, 2011

Report

Report Number
1720753-2011-08855
Event Type
Malfunction
Date Received
July 8, 2011
Date of Event
June 24, 2011
Report Date
July 8, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE SERVICE REP REPLACED THE IMAGE PROCESSOR, AND THE DISPLAY ADAPTER PRINTED CIRCUIT BOARDS. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK IN SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM'S MONITOR WOULD INTERMITTENTLY FLICKER DURING FLUOROSCOPIC X-RAY. 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