FDA Adverse Event Other Summary report: N

MEDRAD CT INJECTOR

MDR report key: 128971 · Received October 29, 1997

Report

Report Number
2520313-1997-00049
Event Type
Other
Date Received
October 29, 1997
Date of Event
September 29, 1997
Report Date
October 29, 1997
Manufacturer
MEDRAD, INC.
Product Code
DXT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

AIR ALLEGEDLY INJECTED DURING CONTRAST CT STUDY. AIR NOTICED ON FILM BY RADIOLOGIST AFTER THE PROCEDURE. QTY OF AIR IS UNK. NO INJURY OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEDRAD CT INJECTOR CT INJECTOR DXT MEDRAD, INC. MCT NA

Patients

Seq Age Sex Outcome Treatment
1 * Other