FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2771772 · Received October 2, 2012

Report

Report Number
1720753-2012-07832
Event Type
Malfunction
Date Received
October 2, 2012
Date of Event
September 13, 2012
Report Date
October 2, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE X-RAY SWITCH ON THE DOGHOUSE WAS REPLACED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED. THIS MALFUNCTION MAY HAVE RESULTED IN A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE X-RAY SWITCH ON THE DOG HOUSE WAS STUCK, AND MAY HAVE STUCK IN THE ON POSITION, ALTHOUGH, THE CUSTOMER ADDED THEY WERE UNCERTAIN ABOUT THAT. THERE IS NO REPORT OF PATIENT INJURY.

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