FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 2891462 · Received December 6, 2012

Report

Report Number
1720753-2012-10176
Event Type
Malfunction
Date Received
December 6, 2012
Date of Event
November 27, 2012
Report Date
December 6, 2012
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE REPRESENTATIVE EVALUATED THE SYSTEM AND REPLACED THE BATTERIES. THE SYSTEM OPERATES AS INTENDED. THIS MALFUNCTION MAY HAVE RESULTED IN A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE SYSTEM DISPLAYED A FILAMENT REGULATOR ERROR DURING A PROCEDURE. 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