FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3123964
·
Received May 17, 2013
Report
- Report Number
- 1720753-2013-06149
- Event Type
- Malfunction
- Date Received
- May 17, 2013
- Date of Event
- April 26, 2013
- Report Date
- May 17, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MX
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICES REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. FUSE NUMBER FOUR WAS RESEATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED A MOVEMENT ERROR MESSAGE, CAUSING A LOSS OF MOTORIZED MOVEMENT. THE MOTORIZED MOVEMENTS ARE CRITICAL FOR THE TYPE OF IMAGING THE MOTORIZED C-RAM WAS DESIGNED FOR. THE SYSTEM WOULD EFFECTIVELY BE UNSTABLE. THERE IS NO REPORT OF PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 218636 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |