BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1133705 · Received August 20, 2008

    Report

    Report Number
    1720753-2008-24815
    Event Type
    Malfunction
    Date Received
    August 20, 2008
    Date of Event
    August 11, 2008
    Report Date
    August 19, 2008
    Manufacturer
    GE OEC MEDICAL SYSTEMS INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE SERVICE REP REPLACED THE LEMO CONNECTOR HARNESS, TESTED SYSTEM FUNCTIONS, SYSTEM IS OPERATING AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE LEMO CONNECTOR ON THE SYSTEM HAS FALLEN DOWN INSIDE OF THE GENERATOR. NO PATIENT 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