FDA Adverse Event Malfunction Summary report: N

9800

MDR report key: 4152379 · Received October 3, 2014

Report

Report Number
1720753-2014-08398
Event Type
Malfunction
Date Received
October 3, 2014
Date of Event
September 15, 2014
Report Date
October 3, 2014
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE HIGH VOLTAGE (HV) CABLE WAS EVALUATED AND REPLACED. A FULL GENERATOR AND FILAMENT CALIBRATION WAS PERFORMED AS PART OF THE SERVICE EVENT. 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 LOST WHEN THE SYSTEM WAS ROTATED TO THE LATERAL POSITION. THIS ISSUE WILL EFFECTIVELY ELIMINATE THE ABILITY TO VIEW A REAL TIME IMAGE. NO PT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
617700 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

Patients

Seq Age Sex Outcome Treatment
1