BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STENOSCOPE

    MDR report key: 1934415 · Received November 24, 2010

    Report

    Report Number
    9617766-2010-00780
    Event Type
    Malfunction
    Date Received
    November 24, 2010
    Date of Event
    August 27, 2010
    Report Date
    November 24, 2010
    Manufacturer
    GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BE
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE CONTACTED THE CUSTOMER BY PHONE, AND A BROKEN WIRE WAS IDENTIFIED AS THE CAUSE OF THE PROBLEM. CUSTOMER REPAIRED THE BROKEN WIRE. SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    CUSTOMER REPORTED THE SYSTEM WOULD NOT PRODUCE X-RAYS. NO PATIENT INJURY WAS REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1