FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 2800023
·
Received October 17, 2012
Report
- Report Number
- 1720753-2012-08377
- Event Type
- Malfunction
- Date Received
- October 17, 2012
- Date of Event
- October 3, 2012
- Report Date
- October 17, 2012
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE X-RAY TUBE TYPE WAS PROGRAMMED INTO THE GENERATOR. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WAS ARCING AND WOULD NOT DISPLAY AN IMAGE. THERE IS NO REPORT OF PT 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 |