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 |