BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1864974 · Received October 6, 2010

    Report

    Report Number
    1720753-2010-03402
    Event Type
    Malfunction
    Date Received
    October 6, 2010
    Date of Event
    September 16, 2010
    Report Date
    October 6, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, 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 INTERCONNECT CABLE AND THE PRINTER WERE REPLACED 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 9800 SYSTEM MONITOR WAS GRAY WITH NO IMAGE DURING A CASE. ALSO THERE WAS A PRINTER ERROR MESSAGE. NO PATIENT 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