FDA Adverse Event Malfunction Summary report: N

7900

MDR report key: 2043033 · Received March 25, 2011

Report

Report Number
9680959-2011-00880
Event Type
Malfunction
Date Received
March 25, 2011
Date of Event
March 9, 2011
Report Date
March 25, 2011
Manufacturer
GE OEC MEDICAL SYSTEMS GMBH
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A GE REP CONDUCTED AN ONSITE INVESTIGATION. THE OUTPUT CABLE FROM THE LEFT SCREEN WAS USED WITH THE RIGHT SCREEN. NO FURTHER INFO IS AVAILABLE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE LEFT SCREEN WAS BROKEN AND THE RIGHT SCREEN WOULD NOT WORK ON THE 7900 SYSTEM. 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