BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6800

    MDR report key: 1861205 · Received October 4, 2010

    Report

    Report Number
    1720753-2010-03364
    Event Type
    Malfunction
    Date Received
    October 4, 2010
    Date of Event
    September 22, 2010
    Report Date
    October 4, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM AND REPLACED THE POWER CORD AND MONITOR. SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    CUSTOMER REPORTED THE SYSTEM SHUT DOWN ON ITS OWN, THEN WAS SLOW TO BOOT UP. ALSO MONITOR HAS BURN IN. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 6800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 6800

    Patients

    Seq Age Sex Outcome Treatment
    1