BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 2973921 · Received February 19, 2013

    Report

    Report Number
    1720753-2013-01944
    Event Type
    Malfunction
    Date Received
    February 19, 2013
    Date of Event
    February 11, 2013
    Report Date
    February 19, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ON SITE INVESTIGATION. NO CONCLUSION CAN BE DRAWN AS FURTHER REPAIR INFORMATION IS UNAVAILABLE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM STOPPED FLUOROING DURING AN EXAM. AN ON SITE INVESTIGATION FOUND THAT THE SYSTEM WOULD NOT BOOT UP. THERE IS NO REPORT OF PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    72477 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1