BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3123954 · Received May 17, 2013

    Report

    Report Number
    1720753-2013-06139
    Event Type
    Malfunction
    Date Received
    May 17, 2013
    Date of Event
    May 13, 2013
    Report Date
    May 17, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN OVER-THE-PHONE INVESTIGATION. THE CUSTOMER WAS INSTRUCTED TO POWER DOWN ALL SYSTEM COMPONENTS THEN REBOOT THE SYSTEM. THE SYSTEM THEN OPERATES AS INTENDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM WOULD NOT BOOT UP. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    219518 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1