BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 3171943 · Received June 7, 2013

    Report

    Report Number
    1720753-2013-06850
    Event Type
    Malfunction
    Date Received
    June 7, 2013
    Date of Event
    May 20, 2013
    Report Date
    June 7, 2013
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE LEFT MONITOR WAS IDENTIFIED AS REQUIRING REPLACEMENT. THE CUSTOMER HAS DECIDED TO PROCURE AND REPLACE THE MONITOR THEMSELVES.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT HALF OF THE DISPLAY WAS DARK WHEN DOING FLUOROSCOPY RENDERING THE IMAGES, AND THE SYSTEM, UNUSABLE. THERE IS NO REPORT OF PT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    253704 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1