FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3014285
·
Received March 6, 2013
Report
- Report Number
- 1720753-2013-03449
- Event Type
- Malfunction
- Date Received
- March 6, 2013
- Date of Event
- February 21, 2013
- Report Date
- March 6, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE POWER SUPPLY WAS ADJUSTED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM WAS EXPOSING ON ITS OWN. THE FIELD ENGINEER NOTED THAT THE SYSTEM WAS NOT PRODUCING UNCOMMANDED X-RAYS. THE SYSTEM DISPLAYED A CONTROL PANEL ERROR WHICH CAUSED THE SYSTEM TO LOCK UP. THERE WAS NO PT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 96445 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |