BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    7700

    MDR report key: 1921203 · Received December 9, 2010

    Report

    Report Number
    9680959-2010-00572
    Event Type
    Malfunction
    Date Received
    December 9, 2010
    Date of Event
    October 11, 2010
    Report Date
    December 9, 2010
    Manufacturer
    GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REP EVALUATED THE SYSTEM AND REPLACED THE FOOT PEDAL. SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE TEMP WARNING LIGHT IS LIT AND THE SYSTEM IS NOT WORKING. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7700 FLUOROSCOPIC X-RAY JAA GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD 7700

    Patients

    Seq Age Sex Outcome Treatment
    1