BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9400

    MDR report key: 2040363 · Received February 15, 2011

    Report

    Report Number
    1720753-2011-02243
    Event Type
    Malfunction
    Date Received
    February 15, 2011
    Date of Event
    February 18, 2011
    Report Date
    March 15, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE REP INFORMED THE CUSTOMER THAT PARTS ARE NOT AVAILABLE. THE CUSTOMER DECIDED TO SCRAP THE SYSTEM.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE 9400 SYSTEM WOULD NOT FLUORO. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9400 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9400

    Patients

    Seq Age Sex Outcome Treatment
    1