BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    7900

    MDR report key: 2900967 · Received December 13, 2012

    Report

    Report Number
    9680959-2012-01750
    Event Type
    Malfunction
    Date Received
    December 13, 2012
    Date of Event
    December 4, 2012
    Report Date
    December 13, 2012
    Manufacturer
    GE OEC MEDICAL SYSTEMS GMBH
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    EI
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REP EVALUATED THE SYSTEM AND REPLACED THE INTERCONNECT CABLE. THE SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    IT WAS REPORTED THE SYSTEM WOULD NOT DISPLAY A USABLE IMAGE. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

    Patients

    Seq Age Sex Outcome Treatment
    1