BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 2093089 · Received May 3, 2011

    Report

    Report Number
    1720753-2011-06854
    Event Type
    Malfunction
    Date Received
    May 3, 2011
    Date of Event
    April 14, 2011
    Report Date
    May 3, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE HIGH VOLTAGE CABLES WERE REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT WHEN THE SYSTEM IS IN, THE LATERAL POSITION AND THE HIGH VOLTAGE CABLES ARE STRESSED, THAT THE MONITOR SCREEN IS INTERMITTENTLY BLACKING OUT AND THE TECHNIQUE GOES TO MAX. NO PT INJURY WAS REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1