GE Healthcare Surgery
g
Certified Mail Return Receipt Requested
384 Wright Brothers Drive
Salt Lake City, Utah 84116
USA
T +1 800 365 1366
F +1 800 536 4817
IMPORTANT- ELECTRONIC PRODUCT
RADIATION WARNING
PLEASE TAKE ACTION TO INFORM ALL USERS OF THE RELEVANT SYSTEM(S) OF THESE
ISSUES AND HOW TO ADDRESS THEM
February 12, 2008
To: Director/Manager of Radiology
Facility Administrator
Subject: Product Safety Issues
Affected Product: GEHC OEC
Our records indicate that your facility has one or more of the following GEHC OEC
products:
• GEHC OEC
• GEHC OEC
GE Healthcare Surgery has identified a potential safety issue with the systems listed
above.
If your facility is receiving this notification, our records indicate that your GEHC
OEC®9800 ESP-15 or GEHC OEC® 9900 ESP-15 Elite may be affected this issue.
®
9800 ESP-15 C-arm & GEHC OEC® 9900 ESP-15 Elite C-arm
®
9800 ESP-15 C-arm
®
9900 ESP-15 Elite C-arm
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1) GE Healthcare has discovered that the Air Kerma Rate displayed value and
cumulative air kerma displayed value could exceed the allowable error under certain
imaging conditions.
The displayed value could exceed the allowable 35% error per 1020.32(k)(6) due to a
calculation error ONLY when the operator has selected pulsed fluoro at 15 pulses per
second, with manual technique control mode selected using extreme and unusual
settings of very high kVp values in combination with very low mA values.
The calculations are correct when operating in automatic technique control mode
and in manual technique mode with usual and normal technique settings.
2) The hazard associated with this condition is that the system may record an incorrect
radiation exposure value for the patient.
Interim Solution:
When operating the OEC 9800 ESP-15 or OEC 9900 ESP-15 Elite C-arm in Pulsed Fluoro
Mode at 15 pulses per second, avoid the use of manual technique control mode using mA
settings below 1.5 mA in combination with kVp values above 100 kVp to avoid error in the
displayed values of Air Kerma and cumulative Air Kerma.
Note:
Some ESP customers received a communication dated July 6, 2007 indicating that a
software correction to address this issue was being evaluated. After completion of the
evaluation GEHC has concluded that this issue is best addressed by executing the
removal of the 15 Pulse per Second (PPS) configuration on all 9800 ESP-15 and 9900 ESP15 C-Arms. The removal of the 15 PPS feature will be facilitated with a software change.
A GE Healthcare Field Service Engineer (or representative) will contact your facility in
order to coordinate this activity at no charge
If you have any questions or concerns regarding these issues, please do not hesitate to
contact GE Healthcare Customer Service. For US Customers please contact GE
Healthcare Customer Service at 1-800-874-7378 or 1-801-536-4688 as we are available
24/7.
We apologize for any inconvenience and thank you for your attention.
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