BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OMNIDIAGNOST

    MDR report key: 1241868 · Received September 25, 2008

    Report

    Report Number
    1217116-2008-00070
    Event Type
    Malfunction
    Date Received
    September 25, 2008
    Date of Event
    August 26, 2008
    Report Date
    August 26, 2008
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NL
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OMNIDIAGNOST JAA (IMAGE INTENSIFIED FLUOROSCOPIC X-RAY SYSTEMS) JAA PHILIPS MEDICAL SYSTEMS 708024 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA