BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UROVIEW

    MDR report key: 1791382 · Received August 6, 2010

    Report

    Report Number
    1720753-2010-02366
    Event Type
    Malfunction
    Date Received
    August 6, 2010
    Date of Event
    July 2, 2010
    Report Date
    August 6, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS CONDUCTED WERE NOT DISCLOSED. THEREFORE, NO CONCLUSION CAN BE DRAWN. HOWEVER, NO REPORT OF INJURY.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE FOOTBOARD WAS JAMMED AND COULD NOT BE REMOVED. NO REPORTS OF PT OR STAFF INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UROVIEW FLUOROSCOPY XRAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

    Patients

    Seq Age Sex Outcome Treatment
    1