FDA Adverse Event Malfunction Summary report: N

PRC AC5000

MDR report key: 1220658 · Received July 16, 2008

Report

Report Number
1217116-2008-00048
Event Type
Malfunction
Date Received
July 16, 2008
Date of Event
January 25, 2008
Report Date
January 28, 2008
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
LLZ
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
OTHER

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRC AC5000 LLZ (PICTURE ARCHIVING AND COMMUNICATIONS SYSTEM) LLZ PHILIPS MEDICAL SYSTEMS 73203 NA

Patients

Seq Age Sex Outcome Treatment
1 *