FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3162176
·
Received June 3, 2013
Report
- Report Number
- 1720753-2013-06666
- Event Type
- Malfunction
- Date Received
- June 3, 2013
- Date of Event
- May 15, 2013
- Report Date
- June 3, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE PS1 POWER SUPPLY, SURGE SUPPRESSOR AND FILAMENT DRIVER BOARDS WERE REPLACED, AND THE HIGH VOLTAGE CABLE CONNECTORS WERE REGREASED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED. THIS MALFUNCTION MAY HAVE RESULTED IN A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE SYSTEM WAS DISPLAYING INTERMITTENT LOW MA AND HIGH MA (MILLIAMPS) ERROR MESSAGES DURING A PT PROCEDURE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 242430 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |