FDA Adverse Event
Malfunction
Summary report: N
9900
MDR report key: 3142738
·
Received May 24, 2013
Report
- Report Number
- 1720753-2013-06414
- Event Type
- Malfunction
- Date Received
- May 24, 2013
- Date of Event
- May 16, 2013
- Report Date
- May 24, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NV, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FSE FOUND THE BATTERY WAS SHORTED OUT AND HAD ZERO VOLTS UNDER LOAD. IT IS A REASONABLE EXPECTATION THAT THE SYSTEM WAS NOT ABLE TO PROVIDE ENOUGH POWER TO CREATE EXCESSIVE RADIATION. THE BATTERY WAS REPLACED 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 DISPLAYED A FILAMENT REGULATOR ERROR THEN A PRECHARGE VOLTAGE ERROR AND WAS UNABLE TO MAKE X-RAY EXPOSURES. THE PRECHARGE VOLTAGE ERROR WILL LIKELY PREVENT THE SYSTEM FROM BOOTING. THERE WAS NO PATIENT INJURY OR DEATH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 231321 | 9900 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |