BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    7900

    MDR report key: 2030787 · Received March 4, 2011

    Report

    Report Number
    9680959-2011-00667
    Event Type
    Malfunction
    Date Received
    March 4, 2011
    Date of Event
    February 2, 2011
    Report Date
    March 4, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS GMBH
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REP EVALUATED THE SYSTEM AND NO CONCLUSION CAN BE DRAWN AS REPAIR INFO IS UNAVAILABLE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED, THE SYSTEM ALARMED AND SHUT DOWN DURING A PROCEDURE. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

    Patients

    Seq Age Sex Outcome Treatment
    1