BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 1973696 · Received January 18, 2011

    Report

    Report Number
    1720753-2011-00334
    Event Type
    Malfunction
    Date Received
    January 18, 2011
    Date of Event
    July 28, 2009
    Report Date
    January 18, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. PINS IN THE LEMO CONNECTOR WERE REPAIRED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYSTEM FAILED TO PRODUCE FLUOROSCOPY XRAY. NO REPORT OF PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9800 FLUOROSCOPIC XRAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1