BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 2941048 · Received January 31, 2013

    Report

    Report Number
    1720753-2013-01340
    Event Type
    Malfunction
    Date Received
    January 31, 2013
    Date of Event
    January 16, 2013
    Report Date
    January 31, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. THE FUSES AND CONNECTORS WERE RESEATED. THE INTERCONNECT CABLE AND THE SYSTEM INTERFACE BOARD WERE REPLACED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    IT WAS REPORTED THE SYSTEM HAD AN INTERMITTENT BLACK IMAGE DURING CASE. THERE IS NO REPORT OF PT INJURY OR DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    43475 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1