BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2961621 · Received February 11, 2013

    Report

    Report Number
    1720753-2013-01626
    Event Type
    Malfunction
    Date Received
    February 11, 2013
    Date of Event
    February 5, 2013
    Report Date
    February 11, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TH
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE REPRESENTATIVE EVALUATED THE SYSTEM AND RESEATED THE CINE DRIVE CABLE CONNECTOR. THE SYSTEM OPERATES AS INTENDED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SYSTEM DISPLAYED A CINE ERROR AND THE CINE FUNCTION WAS NOT OPERATING. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    59621 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1