FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3042503
·
Received April 3, 2013
Report
- Report Number
- 1720753-2013-04577
- Event Type
- Malfunction
- Date Received
- April 3, 2013
- Date of Event
- March 24, 2013
- Report Date
- April 3, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE HIGH VOLTAGE CABLE WAS REPOSITIONED AND ALL CCD CONNECTIONS WERE RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT WHEN THE C-ARM WAS ROTATED, AN X-RAY DISABLED AND A COMMUNICATION ERROR APPEARED ON THE C-ARM CONTROL PANEL AND THE SYSTEM POWERED DOWN. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 136835 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |