BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 2934170 · Received January 3, 2013

    Report

    Report Number
    1720753-2013-00118
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Date of Event
    December 17, 2012
    Report Date
    January 3, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE CONNECTOR ON THE MONITOR POWER SUPPLY WAS CLEANED THE SYSTEM WAS THEN FOUND TO BE AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT BOTH OF THE MONITORS WOULD NOT TURN ON AT START UP AND THE SYSTEM WAS RENDERED UNUSABLE. THERE IS NO REPORT OF PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3866 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800`

    Patients

    Seq Age Sex Outcome Treatment
    1