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