BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GENERAL ELECTRIC

    MDR report key: 1577497 · Received January 7, 2010

    Report

    Report Number
    MW5014279
    Event Type
    Malfunction
    Date Received
    January 7, 2010
    Date of Event
    January 6, 2010
    Report Date
    January 7, 2010
    Manufacturer
    ELECTRI-CORD MFG. CO.
    Product Code
    IZL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A GENERAL ELECTRIC -GE- PORTABLE XRAY UNIT'S POWER CORD SHORTED, WHILE THE TECHNICIAN WAS PLUGGING THE UNIT INTO AN A/C OUTLET TO RECHARGE THE BATTERIES. THE POWER CORD AND A/C OUTLET WERE BURNT, THE USER WAS NOT INJURED. A SERVICE WAS PLACED WITH GE AND THE POWER CORD WAS REPLACED. DATES OF USE: 1 DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GENERAL ELECTRIC A/C POWER CORD IZL ELECTRI-CORD MFG. CO. AMX4 NA

    Patients

    Seq Age Sex Outcome Treatment
    1