BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1153654 · Received September 11, 2008

    Report

    Report Number
    1720753-2008-22287
    Event Type
    Malfunction
    Date Received
    September 11, 2008
    Date of Event
    May 28, 2008
    Report Date
    June 6, 2008
    Manufacturer
    GE OEC MEDICAL SYSTEMS INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    BASED ON THE SYMPTOM, THE GE SERVICE REP ORDERED A POWER CORD. HE INSTALLED A NEW CAMERA ASSEMBLY. CALIBRATED AND FUNCTION CHECKED. SYSTEM PERFORMED AS DESIRED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE GROUND PIN ON THE POWER CORD IS BROKEN. A CUT IN THE CORD WAS ALSO REPORTED. NO PATIENT INVOLVED.

    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