BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3801991 · Received February 4, 2014

    Report

    Report Number
    1720753-2014-01137
    Event Type
    Malfunction
    Date Received
    February 4, 2014
    Date of Event
    September 2, 2013
    Report Date
    February 4, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REP PERFORMED AN ONSITE INVESTIGATION. THE CUSTOMER REQUESTED A NEW MAIN PLUG. A REPLACEMENT PLUG WAS SENT TO THE CUSTOMER. THE SYSTEM WAS FOUND TO BE WORKING AS INTENDED AFTER THE PLUG WAS REPLACED. THE SYSTEM WAS PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM INTERMITTENTLY FAILED TO BOOT TO A USABLE STATE AND EXHIBITED A NON-RECOVERABLE LOSS OF FUNCTIONALITY. NO PT SERIOUS INJURY OR DEATH WAS REPORTED RELATED TO THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    73631 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1