BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TOSHIBA MULTI SLICE CT SCAN

    MDR report key: 1213583 · Received October 29, 2008

    Report

    Report Number
    MW5008788
    Event Type
    Injury
    Date Received
    October 29, 2008
    Date of Event
    July 11, 2007
    Report Date
    October 29, 2008
    Manufacturer
    TOSHIBA
    Product Code
    JAK
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    REPORTER STATES THAT HE FELT THAT HE WAS SUN BURNED AFTER HAVING A SCT SCAN OF HIS BACK AND ABDOMEN. REPORTER WENT TO HIS DOCTOR TO HAVE AN EGD DONE AND WAS TOLD THAT HIS ABDOMEN AND ESOPHAGUS WAS INFLAMED. STATES THAT THE BURNING SENSATION IS ON THE FATTY AREAS, BACK AND STOMACH; AND THAT THE LOWER PART OF HIS RIBS ARE TENDER TO TOUCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOSHIBA MULTI SLICE CT SCAN NONE JAK TOSHIBA

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR