BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1860096 · Received September 21, 2010

    Report

    Report Number
    1720753-2010-03139
    Event Type
    Malfunction
    Date Received
    September 21, 2010
    Date of Event
    September 3, 2010
    Report Date
    September 21, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE FAILURE COULD NOT BE DUPLICATED. THE WALL AC POWER OUTLET WAS MEASURED AND FOUND OUTSIDE OF SPECIFICATIONS 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 980 SYSTEM LEFT MONITOR WAS FLICKERING DURING A CASE. THE 9800 SYSTEM HAD TO BE REMOVED AND THE PROCEDURE WAS COMPLETED WITH ANOTHER SYSTEM. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1