BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9600

    MDR report key: 1852036 · Received September 28, 2010

    Report

    Report Number
    1720753-2010-03240
    Event Type
    Malfunction
    Date Received
    September 28, 2010
    Date of Event
    September 14, 2010
    Report Date
    September 28, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE CAMERA, ETHERNET CABLE, AND DICOM BOX WERE REPLACED AND THE 5 VOLT POWER SUPPLY WAS ADJUSTED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE 9600 SYSTEM LOCKED UP AND WOULD NOT SAVE IMAGES OR SEND TO PACS. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

    Patients

    Seq Age Sex Outcome Treatment
    1