FDA Adverse Event Malfunction Summary report: N

9800MD

MDR report key: 930265 · Received October 22, 2007

Report

Report Number
1720753-2007-06811
Event Type
Malfunction
Date Received
October 22, 2007
Date of Event
September 28, 2007
Report Date
October 22, 2007
Manufacturer
GE OEC MEDICAL SYSTEMS INC
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN EVALUATION OVER THE TELEPHONE. THE MALFUNCTION WAS VERIFIED. THE JOYSTICK WILL BE REPLACED ONCE FUNDING IS MADE AVAILABLE. NO FURTHER PROBLEMS ARE ANTICIPATED FOLLOWING REPLACEMENT. AN ADDITIONAL REPORT WILL BE GENERATED AND SUBMITTED IF FURTHER INFORMATION BECOME AVAILABLE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE JOYSTICK OF THE OMD WAS INTERMITTENTLY FAILING CAUSING A GROSS LOSS OF C ARM MOVEMENT FUNCTIONALITY. THERE WAS NO ADVERSE PATIENT INVOLVEMENT REPORTED. THERE WAS NO PATIENT INFORMATION REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 YR