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 |