BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1071111 · Received July 10, 2008

    Report

    Report Number
    1720753-2008-22890
    Event Type
    Malfunction
    Date Received
    July 10, 2008
    Date of Event
    June 11, 2008
    Report Date
    June 25, 2008
    Manufacturer
    GE OEC MEDICAL SYSTEMS, INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE SERVICE REP FOUND A BROKEN PIN IN THE LEMO CONNECTOR. UTILIZED ALL NECESSARY ESD TOOLS. THE REP REPLACED THE LEMO CONNECTOR. THE SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED INTERMITTENT DARK IMAGES. NO PT INJURY WAS REPORTED.

    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