BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1070078 · Received July 9, 2008

    Report

    Report Number
    1720753-2008-20475
    Event Type
    Malfunction
    Date Received
    July 9, 2008
    Date of Event
    March 31, 2008
    Report Date
    April 4, 2008
    Manufacturer
    GE OEC MEDICAL SYSTEMS INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED WHILE THE SYSTEM WAS IN USE, HE HEARD A POP. THE LEFT MONITOR WENT BLANK. PT INVOLVED. ABLE TO FINISH CASE WITHOUT INJURIES.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1