BEUDAMED
    FDA Adverse Event Summary report: N

    SIMULATOR

    MDR report key: 11044 · Received January 25, 1994

    Report

    Report Number
    MW1000481
    Date Received
    January 25, 1994
    Date of Event
    January 18, 1994
    Report Date
    January 18, 1994
    Manufacturer
    VARIAN ASSOC.
    Product Code
    KPQ
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RADIOLOGIC TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    THE FLUORO UNIT DID NOT SHUT OFF AUTOMATICALLY AFTER THE FOOT PEDAL (USED TO ACTIVATE THE UNIT) WAS RELEASED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMULATOR KPQ VARIAN ASSOC. XIM-5

    Patients

    Seq Age Sex Outcome Treatment
    1 *