FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 3874577
·
Received April 22, 2014
Report
- Report Number
- 1720753-2014-03532
- Event Type
- Malfunction
- Date Received
- April 22, 2014
- Date of Event
- March 20, 2014
- Report Date
- April 2, 2014
- Manufacturer
- GE OEC MEDICAL SYSTEMS
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE HIGH VOLTAGE CABLE WAS EVALUATED AND REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE FLUOROSCOPIC IMAGE WAS DEGRADED WITH HALO EFFECTS WHEN THE SYSTEM WAS MOVED TO A LATERAL POSITION EFFECTIVELY ELIMINATING THE ABILITY TO VIEW A USABLE IMAGE. NO PATIENT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 243772 | 9800 | FLUOROSCOPIC X-RAY | JAA | GE OEC MEDICAL SYSTEMS | 9800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |