FDA Adverse Event
Malfunction
Summary report: N
7900
MDR report key: 2043030
·
Received March 25, 2011
Report
- Report Number
- 9680959-2011-00868
- Event Type
- Malfunction
- Date Received
- March 25, 2011
- Date of Event
- October 26, 2010
- Report Date
- March 25, 2011
- Manufacturer
- GE OEC MEDICAL SYSTEMS GMBH
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LE
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE MFR'S SERVICE REP PERFORMED AN ON SITE INVESTIGATION AND WORKED ON THE X-RAY TUBE. NO CONCLUSION CAN BE DRAWN AS ADD'L REPAIR INFO IS UNAVAILABLE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE X-RAY TUBE NEEDED TO BE REPLACED. 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 |