FDA Adverse Event Other Summary report: N

GE OEC 9800

MDR report key: 906929 · Received September 4, 2007

Report

Report Number
1720753-2007-05080
Event Type
Other
Date Received
September 4, 2007
Date of Event
August 13, 2007
Report Date
September 3, 2007
Manufacturer
GE OEC MEDICAL SYSTEMS INC.
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE OEC SERVICE REPRESENTATIVE INVESTIGATED THE ISSUE AND FOUND THE CUSTOMER DID NOT FOLLOW MANUFACTURER'S RECOMMENDATIONS OR NORMAL PRECAUTIONS TO PROTECT SYSTEM FROM BODY SUBSTANCES. PT BLOOD RAN ALL OVER TUBE HOUSING DURING A PROCEDURE AND WAS NOT COVERED PROPERLY TO PREVENT CONTAMINATION. SERVICE REPRESENTATIVE HAD CUSTOMER PULL SYSTEM FROM USE AND CLEAN THE EXTERIOR USING UNIVERSAL BODY SUBSTANCE ISOLATION TECHNIQUES AND RESPONDED TO THE FACILITY, REMOVED TUBE HOUSE COVER AND CLEANED THE SYSTEM USING APPROPRIATE BODY SUBSTANCE ISOLATION PRE-CAUTIONS. ADDITIONALLY, THE HIGH VOLTAGE CABLES WERE CLEANED AND RE-GREASED PER PROCEDURE. CUSTOMER/USER ABUSE/ERROR. THE SYSTEM WAS TESTED, FOUND TO BE OPERATING AS INTENDED, AND RELEASED TO THE CUSTOMER FOR USE. THE FACILITY WAS UNABLE TO, OR WOULD NOT PROVIDE ANY PT INFORMATION WITH RESPECT TO THIS ISSUE. NO PT INJURY OR HARM WAS REPORTED AS A RESULT OF THE NOTED MALFUNCTION.

Description of Event or Problem · 1

THE GE OEC 9800 FLUOROSCOPY SYSTEM WAS USED DURING A PROCEDURE AND WAS NOT COVERED APPROPRIATELY. BLOOD AND FLUIDS RAN ALL OVER X-RAY TUBE HOUSING AND THE TUBE HOUSING WAS DRIPPING BLOOD AND FLUIDS AFTER THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GE OEC 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS INC. 9800 NA

Patients

Seq Age Sex Outcome Treatment
1 YR