BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3020882 · Received March 18, 2013

    Report

    Report Number
    1720753-2013-03871
    Event Type
    Malfunction
    Date Received
    March 18, 2013
    Date of Event
    March 12, 2013
    Report Date
    March 18, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. NO CONCLUSION CAN BE DRAWN AS FURTHER REPAIR INFORMATION IS UNAVAILABLE AT THIS TIME.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM STOPPED FLUOROING DURING A CASE. AN ALTERNATE SYSTEM WAS REQUIRED TO COMPLETE THE CASE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    111882 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1