BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1232524 · Received November 13, 2008

    Report

    Report Number
    1720753-2008-28062
    Event Type
    Malfunction
    Date Received
    November 13, 2008
    Date of Event
    October 17, 2008
    Report Date
    November 13, 2008
    Manufacturer
    GE OEC MEDICAL SYSTEMS INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE SERVICE REP WAS MONITORING THE INTERCONNECT. THERE WERE NO FURTHER PROBLEMS SINCE THE INTERCONNECT WAS REPLACED WITH A LOANER. HE REMOVED THE LOANER AND REPLACED IT WITH A NEW INTERCONNECT. THE SYSTEM FUNCTIONS AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE MONITORS WERE BLANKING OUT DUE TO THE INTERCONNECT CABLE.

    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