BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2800

    MDR report key: 2182874 · Received July 11, 2011

    Report

    Report Number
    1720753-2011-08911
    Event Type
    Malfunction
    Date Received
    July 11, 2011
    Date of Event
    June 29, 2011
    Report Date
    July 11, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION AND COULD NOT DUPLICATE THE REPORTED PROBLEM. THE TABLE HAND CONTROL WAS REPLACED, AND THE CUSTOMER WAS INSTRUCTED ON PROPER USE OF THE SYSTEM. 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 DISPLAYED AN ERROR MESSAGE AND WOULD NOT PERFORM FLUOROSCOPIC X-RAY. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 2800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 2800

    Patients

    Seq Age Sex Outcome Treatment
    1