FDA Adverse Event Malfunction Summary report: N

7900

MDR report key: 2943134 · Received January 21, 2013

Report

Report Number
9680959-2013-00185
Event Type
Malfunction
Date Received
January 21, 2013
Date of Event
January 8, 2013
Report Date
January 21, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS GMBH
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO CONCLUSION CAN BE DRAWN AS REPAIR INFORMATION IS UNAVAILABLE. HOWEVER, NO REPORT OF PT OR STAFF INJURY WAS REPORTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE SYSTEM HAD AN INTERMITTENT LOSS OF SYSTEM FUNCTIONALITY. THERE IS NO REPORT OF PT INJURY OR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
28808 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

Patients

Seq Age Sex Outcome Treatment
1