FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 3792221 · Received January 13, 2014

Report

Report Number
1720753-2014-00427
Event Type
Malfunction
Date Received
January 13, 2014
Date of Event
November 29, 2013
Report Date
January 13, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE REPRESENTATIVE EVALUATED THE SYSTEM AND COULD NOT REPRODUCE THE REPORTED PROBLEM. THE FSE RECOMMENDED THAT THE BATTERIES BE CHARGED PRIOR TO USE. THE SYSTEM OPERATES AS INTENDED AND WAS RETURNED TO SERVICE. THIS MALFUNCTION MAY HAVE RESULTED IN A POSSIBLE ACCIDENTAL RADIATION OCCURRENCE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM DISPLAYED A FILAMENT REGULATOR ERROR, WHICH OCCURRED DURING A PROCEDURE WITH PT INVOLVEMENT. THIS MAY HAVE RESULTED IN A POSSIBLE ARO (ACCIDENTAL RADIATION OCCURRENCE). THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
33811 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1