BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 2820573 · Received November 2, 2012

    Report

    Report Number
    1720753-2012-09022
    Event Type
    Malfunction
    Date Received
    November 2, 2012
    Date of Event
    October 15, 2012
    Report Date
    November 2, 2012
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE LEFT MONITOR WAS DIAGNOSED AS BEING THE PROBLEM. NO CONCLUSION CAN BE DRAWN AS REPAIR INFORMATION IS UNAVAILABLE AT THIS TIME.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM STARTED PROPERLY BUT WOULD NOT DISPLAY A FLUOROSCOPIC IMAGE. THERE IS NO REPORT OF PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1