FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3192226
·
Received June 20, 2013
Report
- Report Number
- 1720753-2013-07416
- Event Type
- Malfunction
- Date Received
- June 20, 2013
- Date of Event
- June 14, 2013
- Report Date
- June 20, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FLUORO FUNCTIONS BOARD WAS REPLACED, THE SYSTEM SOFTWARE WAS RELOADED, AND THE COLLIMATOR WAS RECALIBRATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE COLLIMATOR WAS INTERMITTENTLY CLOSING. THIS WILL RENDER THE SYSTEM INOPERABLE. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 280299 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |