FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3033122
·
Received April 1, 2013
Report
- Report Number
- 1720753-2013-04438
- Event Type
- Malfunction
- Date Received
- April 1, 2013
- Date of Event
- March 20, 2013
- Report Date
- April 1, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE REPRESENTATIVE EVALUATED THE SYSTEM AND REPLACED A BLOWN FUSE. THE SYSTEM OPERATES AS INTENDED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SYSTEM WAS DOUBLE EXPOSING, MAKING IT HARD TO READ THE IMAGES. THE ISSUE COULD CAUSE THE SYSTEM TO BECOME UNUSABLE DUE TO THE INABILITY TO VIEW THE LIVE FLUOROSCOPIC IMAGE. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 133121 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |