FDA Adverse Event
Malfunction
Summary report: N
FLUOROSCOPIC IMAGE INTENSIFIED SYSTEM
MDR report key: 92197
·
Received May 16, 1997
Report
- Report Number
- 1720753-1997-00008
- Event Type
- Malfunction
- Date Received
- May 16, 1997
- Date of Event
- April 25, 1997
- Report Date
- May 15, 1997
- Manufacturer
- OEC MEDICAL SYSTEMS, INC.
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
ON 4/25/97 OEC MEDICAL SYSTEMS INC WAS NOTIFIED THAT AN OCE MODEL 9600 WAS PRODUCING HIGHER THAN NORMAL DOSE OUTPUT. DURING APPLICATIONS TRAINING OF HOSPITAL PERSONNEL SYSTEM INTERMITTENTALLY DISPLAYED ERROR MESSAGES WARNING OF THIS CONDITION. FIELD SERVICE ENGINEER DIAGNOSED SYSTEM AND CONFIRMED HIGHER THAN NORMAL DOSE OUTPUT. FSE REMOVED AND REPLACED FAILED PARTS, TESTED/INSPECTED AND RETURNED SYSTEM TO CURRENT SPECIFICATIONS. HOSPITAL REPORTED NO ADVERSE EVENT, DEATH, OR SERIOUS INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FLUOROSCOPIC IMAGE INTENSIFIED SYSTEM | MOBILE C-ARM SERIES 9600 | JAA | OEC MEDICAL SYSTEMS, INC. | 9600 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Other |