FDA Adverse Event
Malfunction
Summary report: N
STENOSCOP
MDR report key: 2092479
·
Received May 2, 2011
Report
- Report Number
- 9617766-2011-00972
- Event Type
- Malfunction
- Date Received
- May 2, 2011
- Date of Event
- April 14, 2011
- Report Date
- May 2, 2011
- Manufacturer
- GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD
- Product Code
- JAA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER DECLINED TO HAVE THE SERVICE REPRESENTATIVE FIX THE SYSTEM. THE SYSTEM WAS DETERMINED TO BE AT END OF LIFE. NO FURTHER INFORMATION IS AVAILABLE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT BOOT UP DURING PREVENTATIVE MAINTENANCE. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STENOSCOP | FLUOROSCOPIC X-RAY | JAA | GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD | STENOSCOP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |