BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9900

    MDR report key: 4901432 · Received July 7, 2015

    Report

    Report Number
    1720753-2015-02688
    Event Type
    Malfunction
    Date Received
    July 7, 2015
    Date of Event
    June 12, 2015
    Report Date
    July 7, 2015
    Manufacturer
    GE OEC MEDICAL SYSTEMS
    Product Code
    JAA
    PMA / PMN Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE BOARDS AND CONNECTORS WERE RESEATED. THE REAL TIME OPERATING SYSTEM (RTOS) AND THE SOFTWARE WERE INSTALLED DURING THE SERVICE CALL. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND PUT BACK INTO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE SYSTEM HAD MIXED SAVED IMAGES. THERE WAS NO PATIENT INJURY OR DEATH REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    440798 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS 9900 E2-3579

    Patients

    Seq Age Sex Outcome Treatment
    1