FDA Adverse Event Malfunction Summary report: N

FLUOROSCOPIC X-RAY

MDR report key: 939680 · Received November 8, 2007

Report

Report Number
1720753-2007-07510
Event Type
Malfunction
Date Received
November 8, 2007
Date of Event
October 17, 2007
Report Date
November 8, 2007
Manufacturer
GE OEC MEDICAL SYSTEMS INC
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE DESCRIBED PROBLEMS COULD NOT BE DUPLICATED. ADVISED THE CUSTOMER THAT A FACILITY POWER SAG MAY HAVE CAUSED THE REPORTED ISSUES. CUSTOMER IS MOVING OT A NEW FACILITY AND NO FURTHER ACTION WAS REQUESTED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PLACED BACK INTO SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE IMAGES ON THE 9800 SYSTEM WERE REAL DARK AND THE WORKSTATION WAS PRODUCING A HIGH PITCHED NOISE. THE NOISE WENT AWAY AFTER THE SYSTEM WAS SHUT DOWN AND REPLUGGED IN. THERE WAS NO REPORT OF PT INJURY.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK YR