BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2960921 · Received January 30, 2013

    Report

    Report Number
    1720753-2013-01259
    Event Type
    Malfunction
    Date Received
    January 30, 2013
    Date of Event
    January 16, 2013
    Report Date
    January 30, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SVC REP PERFORMED AN ON SITE INVESTIGATION. THE POWER CAP MODULE NEEDS TO BE REPLACED. THE CUSTOMER CANCELLED THE SVC CALL.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYS WOULD NOT BOOT UP. THERE IS NO REPORT OF PT INJURY OR DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    41176 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1