BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STENOSCOP

    MDR report key: 2103311 · Received May 17, 2011

    Report

    Report Number
    9617766-2011-01062
    Event Type
    Malfunction
    Date Received
    May 17, 2011
    Date of Event
    April 27, 2011
    Report Date
    May 17, 2011
    Manufacturer
    GE MEDICAL SYSTEMS (INDIA) PRIVATE LTD (GE PRIVATE)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE CONTROL LEVER WAS REPAIRED. THE MAIN POWER CABLE WAS REPLACED AND THE TUBE WAS WORKED ON. 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 THE SYSTEM WOULD NOT MOVE. THE ROTATION CONTROL MECHANISM, THE WHEEL ROTATION MECHANISM, AND THE MAIN POWER SUPPLY CABLE WERE FAULTY. NO PT 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 (GE PRIVATE) STENOSCOP

    Patients

    Seq Age Sex Outcome Treatment
    1