BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6800

    MDR report key: 2833382 · Received October 26, 2012

    Report

    Report Number
    1720753-2012-08767
    Event Type
    Malfunction
    Date Received
    October 26, 2012
    Date of Event
    October 17, 2012
    Report Date
    October 26, 2012
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM AND PERFORMED A CALIBRATION OF THE MONITORS AND THE CAMERA IRIS. THE SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYSTEM DISPLAYED GRAINY IMAGES AND COMPLETED THEIR CASE WITH ANOTHER UNIT. THERE IS NO REPORT OF PT INJURY OR DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 6800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 6800

    Patients

    Seq Age Sex Outcome Treatment
    1