BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GUERBET ANGIOMAT ILLUMENA INJECTOR

    MDR report key: 15044075 · Received July 15, 2022

    Report

    Report Number
    MW5110930
    Event Type
    Injury
    Date Received
    July 15, 2022
    Date of Event
    July 6, 2022
    Report Date
    July 14, 2022
    Manufacturer
    GUERBET / LIEBEL-FLARSHEIM COMPANY LLC
    Product Code
    DXT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    BIOMEDICAL ENGINEER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    GUERBET ANGIOMAT ILLUMENA INJECTOR SYRINGES EXPLODING DURING CONTRAST INJECTION. (PART# 236303). FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    240355 GUERBET ANGIOMAT ILLUMENA INJECTOR INJECTOR AND SYRINGE, ANGIOGRAPHIC DXT GUERBET / LIEBEL-FLARSHEIM COMPANY LLC ANGIOMAT ILLUMENA SYRINGE 20210106

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention