BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    7900

    MDR report key: 2170986 · Received June 30, 2011

    Report

    Report Number
    9680959-2011-01525
    Event Type
    Malfunction
    Date Received
    June 30, 2011
    Date of Event
    June 20, 2011
    Report Date
    June 30, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS GMBH
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION AND CHECKED THE VIDEO SIGNAL ON THE CABLES. 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'S LEFT MONITOR WOULD NOT DISPLAY A CLEAR IMAGE. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

    Patients

    Seq Age Sex Outcome Treatment
    1