BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3791846 · Received January 6, 2014

    Report

    Report Number
    1720753-2014-00111
    Event Type
    Malfunction
    Date Received
    January 6, 2014
    Date of Event
    December 18, 2013
    Report Date
    January 6, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NO CONCLUSION CAN BE DRAWN AS REPAIR INFO IS UNAVAILABLE.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SYS LOST THE CONNECTION BETWEEN WORKSTATION AND C-ARM WITH A COMMUNICATION ERROR. THIS ERROR MAY RESULT IN A SYS LOCK UP, NO BOOT, OR SHUT DOWN SITUATION. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THE EVENT DESCRIBED IN THIS COMPLAINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8604 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1