BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 3792223 · Received January 13, 2014

    Report

    Report Number
    1720753-2014-00423
    Event Type
    Malfunction
    Date Received
    January 13, 2014
    Date of Event
    January 2, 2014
    Report Date
    January 13, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ON SITE INVESTIGATION. THE HIGH VOLTAGE CANDLESTICKS WERE CLEANED AND REGREASED, AND FILAMENT AND HIGH VOLTAGE CALIBRATIONS WERE PERFORMED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE MONITOR BECAME BLACK DURING FLUORO, AND AN OVERLOAD FAULT IN THE ERROR LOG WAS ALSO REPORTED. THIS ERROR MAY CAUSE THE SYSTEM TO SHUT DOWN. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH TO EVENT DESCRIBED IN THIS COMPLAINT..

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    33746 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS 9800

    Patients

    Seq Age Sex Outcome Treatment
    1