FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3201407
·
Received June 26, 2013
Report
- Report Number
- 1720753-2013-07610
- Event Type
- Malfunction
- Date Received
- June 26, 2013
- Date of Event
- June 6, 2013
- Report Date
- June 26, 2013
- Manufacturer
- GE OEC MEDICAL SYSTEMS (SLC)
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE IMAGE INTENSIFIER WAS REPLACED AND THE CAMERA IRIS WAS RECALIBRATED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT WHEN FLUOROING FROM NORMAL TO DIGITAL SPOT THE IMAGE GOES WHITE. THIS RESULTED IN A LOSS OF LIVE IMAGE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 291478 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |