BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 3162142 · Received June 3, 2013

    Report

    Report Number
    1720753-2013-06669
    Event Type
    Malfunction
    Date Received
    June 3, 2013
    Date of Event
    May 17, 2013
    Report Date
    June 3, 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 REPRESENTATIVE PERFORMED AN OVER-THE-PHONE INVESTIGATION. FURTHER REPAIR INFORMATION IS UNAVAILABLE AT THIS TIME.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM SCREEN WENT BLACK AND WOULD NOT SHOOT. THEN 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
    242712 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1