BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 2043467 · Received March 28, 2011

    Report

    Report Number
    1720753-2011-02922
    Event Type
    Malfunction
    Date Received
    March 28, 2011
    Date of Event
    October 27, 2010
    Report Date
    March 28, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE CUSTOMER CANCELED THE SERVICE CALL INDICATING THEY HAD RESOLVED THE REPORTED ISSUE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYSTEM FAILED TO DISPLAY AN IMAGE. NO REPORT OF PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9800 FLUOROSCOPIC XRAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1