FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 2914944
·
Received December 20, 2012
Report
- Report Number
- 1720753-2012-10713
- Event Type
- Malfunction
- Date Received
- December 20, 2012
- Date of Event
- December 10, 2012
- Report Date
- December 20, 2012
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE REPORTED ISSUE IS CURRENTLY UNDER INVESTIGATION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM WAS UNABLE TO MAKE FLUOROSCOPIC EXPOSURES. THE FSE NOTED THIS AS AN INTERMITTENT NO X-RAY ISSUE. THERE IS NO REPORT OF PATIENT INJURY OR DEATH.
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 |