BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2193058 · Received July 22, 2011

    Report

    Report Number
    1720753-2011-20315
    Event Type
    Malfunction
    Date Received
    July 22, 2011
    Date of Event
    July 15, 2011
    Report Date
    July 22, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE SVC REP INSTRUCTED THE CUSTOMER OVER-THE-PHONE TO RE-BOOT THE WORKSTATION AND THE C-ARM. THE SYSTEM OPERATED AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYS WOULD DISPLAY AN X-RAY DISABLED ERROR MESSAGE. 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