FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 2971485 · Received February 4, 2013

Report

Report Number
1720753-2013-01402
Event Type
Malfunction
Date Received
February 4, 2013
Date of Event
January 22, 2013
Report Date
February 4, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. A FILAMENT CALIBRATION WAS PERFORMED. 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 SYSTEM DISPLAYED A HIGH MA ERROR MESSAGE, BUT THAT THEY WERE UNABLE TO CONTINUE WITH THE CASE. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
47274 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1