BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 3902177 · Received February 24, 2014

    Report

    Report Number
    1720753-2014-01754
    Event Type
    Malfunction
    Date Received
    February 24, 2014
    Date of Event
    February 11, 2014
    Report Date
    February 24, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE CUSTOMER CANCELED THE SERVICE CALL.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE IMAGE WENT BLACK. THIS RESULTED IN A RECOVERABLE LOSS OF FUNCTIONALITY. SYSTEM FUNCTIONALITY WAS RESTORED WITH A REBOOT. THERE IS NO REPORT OF INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    114248 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

    Patients

    Seq Age Sex Outcome Treatment
    1