BEUDAMED
    FDA Adverse Event Injury Summary report: N

    X-RAY MACHINE

    MDR report key: 1474433 · Received September 3, 2009

    Report

    Report Number
    MW5012714
    Event Type
    Injury
    Date Received
    September 3, 2009
    Date of Event
    August 29, 2009
    Report Date
    September 3, 2009
    Product Code
    IZO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SECOND DEGREE BURN TO LEFT BACK DUE TO LEADS LEFT ON PT, DURING X-RAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 X-RAY MACHINE IZO

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR