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 |