FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3231037
·
Received July 12, 2013
Report
- Report Number
- 1720753-2013-08084
- Event Type
- Malfunction
- Date Received
- July 12, 2013
- Date of Event
- June 29, 2013
- Report Date
- July 12, 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 HIGH VOLTAGE CABLE, INTERCONNECT CABLE, HIGH VOLTAGE TANK, X-RAY TUBE, IGBT SNUBBER BOARD, GENERATOR DRIVER BOARD AND SYSTEM BATTERIES WERE REPLACED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.
Description of Event or Problem · 1
THE FIELD ENGINEER REPORTED THAT THE SYSTEM WAS DISPLAYING OVERLOAD FAULT ERROR MESSAGES AND HAD MAJOR ARCING. THIS WILL CAUSE THE SYSTEM TO SHUT DOWN. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 324095 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS (SLC) | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |