BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3060471 · Received April 10, 2013

    Report

    Report Number
    1720753-2013-04817
    Event Type
    Malfunction
    Date Received
    April 10, 2013
    Date of Event
    April 2, 2013
    Report Date
    April 10, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE HIGH VOLTAGE CABLES WERE REGREASED, ALL CIRCUIT BOARDS, CABLES AND CONNECTORS WERE RESEATED, AND A GENERATOR CALIBRATION WAS PERFORMED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THEY HEAR A POPPING SOUND AND THE IMAGE WENT MISSING. THIS RESULTED IN A LOSS OF THE LIVE IMAGE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    148667 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1