BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 1944268 · Received December 6, 2010

    Report

    Report Number
    1720753-2010-04491
    Event Type
    Malfunction
    Date Received
    December 6, 2010
    Date of Event
    November 17, 2010
    Report Date
    December 3, 2010
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM AND REGREASED THE CANDLESTICK (HIGH VOLTAGE) CONNECTORS. SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE 9900 SYSTEM LOCKED UP WITH A COMMUNICATION ERROR DURING A CASE. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1