FDA Adverse Event Other Summary report: N

OEC 9" I.I. 9600/9800 C-ARM X-RAY TUBE DRAPE

MDR report key: 906975 · Received August 28, 2007

Report

Report Number
1720753-2007-04895
Event Type
Other
Date Received
August 28, 2007
Date of Event
August 8, 2007
Report Date
August 27, 2007
Manufacturer
GE OEC MEDICAL SYSTEMS INC.
Product Code
KKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONTAMINATED STERILE DRAPES WERE REPORTED AND THIS ISSUE IS UNDER INVESTIGATION THROUGH THE OFFICES. THE ISSUE IS CURRENTLY UNDER GOING A FIELD ACTION DETERMINATION AND HAS BEEN PUSHED TO THE QUALITY REVIEW BOARD TO INVESTIGATE AND FIND CAUSATION AND MITIGATION. GROSS CONTAMINATION NOTED PRIOR TO OPENING OR USE. HOSPITAL INSPECTION REVEALED CONTAMINATION PRIOR TO USE. NO PT INJURY OR HARM WAS REPORTED AS A RESULT OF THE NOTED MALFUNCTION. THIS ISSUE OCCURRED IN ANOTHER COUNTRY.

Description of Event or Problem · 1

THE GE OEC 9" I.I. 9600/9800 C-ARM X-RAY TUBE DRAPE WAS OPENED AND SEVERAL PACKAGES HAD OBVIOUS GROSS PARTICULATE CONTAMINATION IN AN UN-OPENED STERILE DRAPE BAG. CONTAMINATION NOTED DURING HOSPITAL RECEIVING INSPECTION. NO PT EXPOSURE OR INJURY RESULTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OEC 9" I.I. 9600/9800 C-ARM X-RAY TUBE DRAPE STERILE DRAPE X-RAY TUBE KKX GE OEC MEDICAL SYSTEMS INC. ACCESSORY NA

Patients

Seq Age Sex Outcome Treatment
1 YR