FDA Adverse Event Malfunction Summary report: N

STENOSCOP

MDR report key: 2934233 · Received January 7, 2013

Report

Report Number
1720753-2013-00220
Event Type
Malfunction
Date Received
January 7, 2013
Date of Event
December 18, 2012
Report Date
January 7, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION AND THE MEMORY WAS DETERMINED TO BE DEFECTIVE AND THE CUSTOMER WAS ISSUED A QUOTE FOR THE PART REPLACEMENT. NO FURTHER REPAIR INFO IS AVAILABLE AT THIS TIME.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SCREEN WAS FREEZING AND THEN TURNING BLACK. THIS RESULTED IN A LOSS OF THE LIVE IMAGE. THERE IS NO REPORT OF PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
8392 STENOSCOP FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) STENOSCOP

Patients

Seq Age Sex Outcome Treatment
1