BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2093375 · Received May 4, 2011

    Report

    Report Number
    1720753-2011-06922
    Event Type
    Malfunction
    Date Received
    May 4, 2011
    Date of Event
    April 15, 2011
    Report Date
    May 4, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VT, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SVC REP PERFORMED AN ONSITE INVESTIGATION AND REPLACED THE EXTERNAL VIDEO DISPLAY CABLE ASSEMBLY ON THE SYS. THE SYS WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SVC.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYS HAD NO VIDEO OUTPUT AND THAT THE SYSTEM'S EXTERNAL VIDEO PORT WAS BROKEN. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1