BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9600

    MDR report key: 2030994 · Received March 4, 2011

    Report

    Report Number
    1720753-2011-01945
    Event Type
    Malfunction
    Date Received
    March 4, 2011
    Date of Event
    August 10, 2010
    Report Date
    March 4, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NO CONCLUSION CAN BE DRAWN AS REPAIR INFO IS UNAVAILABLE. HOWEVER, NO REPORT OF PT OR STAFF INJURY WAS REPORTED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE 9600 SYSTEM WAS CONTINUOUSLY RESETTING AND HAD BAD CONTACTS. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

    Patients

    Seq Age Sex Outcome Treatment
    1