FDA Adverse Event
Malfunction
Summary report: N
9800
MDR report key: 1110004
·
Received August 14, 2008
Report
- Report Number
- 1720753-2008-23916
- Event Type
- Malfunction
- Date Received
- August 14, 2008
- Date of Event
- July 14, 2008
- Report Date
- July 23, 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
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE LEFT MONITOR HAS A LINE THRU IT. IT APPEARS TO HAVE LOST THE HORIZONTAL HOLD. THE MONITOR IS ROLLING. NO PT INVOLVEMENT.
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 |