BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2934174 · Received January 3, 2013

    Report

    Report Number
    1720753-2013-00090
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Date of Event
    November 7, 2012
    Report Date
    January 3, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM AND TIGHTENED THE CONNECTORS ON THE MONITOR AND ADJUSTED THE MONITOR POWER SUPPLY. THE SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE FSE REPORTED THAT THE LEFT MONITOR INTERMITTENTLY WOULD NOT COME ON. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3872 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1