BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 3833003 · Received March 25, 2014

    Report

    Report Number
    1720753-2014-02672
    Event Type
    Malfunction
    Date Received
    March 25, 2014
    Date of Event
    March 5, 2014
    Report Date
    March 25, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PL
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NO CONCLUSION CAN BE DRAWN AS CONCLUSIVE REPAIR INFO IS UNAVAILABLE AT THIS TIME AND NO ADDITIONAL SERVICE INFO WAS PROVIDED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SYSTEM HAD NO VIDEO SIGNAL FROM THE CAMERA. THIS CAN PREVENT THE SYSTEM FROM PRODUCING A LIVE IMAGE. 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
    173829 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1