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 | * |