FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3093407 · Received April 26, 2013

Report

Report Number
1720753-2013-05400
Event Type
Malfunction
Date Received
April 26, 2013
Date of Event
April 22, 2013
Report Date
April 26, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE REP EVALUATED THE SYSTEM AND CLEANED, LUBRICATED AND RESEATED THE HIGH VOLTAGE CANDLESTICK CONNECTORS. THE SYSTEM OPERATES AS INTENDED.

Description of Event or Problem · 1

THE FIELD ENGINEER REPORTED THAT THE SYSTEM DISPLAYED A FILAMENT REGULATOR AND KV ON IN ERROR MESSAGES. THIS EVENT OCCURRED OUTSIDE OF THE PROCEDURE AND THERE WAS NO PT INVOLVEMENT. IT IS A REASONABLE EXPECTATION THAT THE SYSTEM WAS NOT ABLE TO PROVIDE ENOUGH POWER TO CREATE EXCESSIVE RADIATION. THE KV ON IN ERROR WILL LIKELY SHUT DOWN WITHOUT COMMAND. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
181754 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1