BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDRAD CT INJECTOR

    MDR report key: 104026 · Received July 7, 1997

    Report

    Report Number
    2520313-1997-00027
    Event Type
    Other
    Date Received
    July 7, 1997
    Date of Event
    May 14, 1997
    Report Date
    July 7, 1997
    Manufacturer
    MEDRAD, INC.
    Product Code
    IZQ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING CT, CONTRAST EXTRAVASATED INTO THE PT'S VEIN OF THE RIGHT ANTECUBITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDRAD CT INJECTOR CT INJECTOR IZQ MEDRAD, INC. ECT 700 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other