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