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 |