BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9600

    MDR report key: 2820614 · Received November 2, 2012

    Report

    Report Number
    1720753-2012-09036
    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
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM BUT NO CONCLUSION CAN BE DRAWN AS REPAIR INFORMATION IS NOT AVAILABLE. THE CUSTOMER SCRAPPED THE SYSTEM DUE TO THE COST OF REPAIR.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYSTEM LOCKED UP. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 9600 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9600

    Patients

    Seq Age Sex Outcome Treatment
    1