FDA Adverse Event
Malfunction
Summary report: N
7900
MDR report key: 1934287
·
Received November 24, 2010
Report
- Report Number
- 9680959-2010-00536
- Event Type
- Malfunction
- Date Received
- November 24, 2010
- Date of Event
- May 18, 2010
- Report Date
- November 24, 2010
- Manufacturer
- GE OEC MEDICAL SYSTEMS GMBH
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS ISSUE WAS REPAIRED BY THE SVC ENGINEER OVER THE PHONE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED, THE SYSTEM'S MONITOR FLICKERED THEN FAILED TO DISPLAY AN IMAGE. NO REPORT OF PT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 7900 | FLUOROSCOPIC XRAY | JAA | GE OEC MEDICAL SYSTEMS GMBH | 7900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |