FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2243629
·
Received August 24, 2011
Report
- Report Number
- 1720753-2011-21338
- Event Type
- Malfunction
- Date Received
- August 24, 2011
- Date of Event
- August 11, 2011
- Report Date
- August 24, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SVC REP PERFORMED AN ONSITE INVESTIGATION. THE SVC REP REPLACED THE HIGH VOLTAGE CABLE ASSEMBLY, REASSEMBLED THE OPS AND REPLACED THE HANDSWITCH. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK IN SVC.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYS LOST ABILITY TO PERFORM FLUOROSCOPY WHEN THE C-ARM WAS MOVED FROM A/P TO LATERAL POSITION. THIS HAPPENED DURING A PROCEDURE. NO PT 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 |