BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARRITECHNO CINE CAMERA

    MDR report key: 158007 · Received March 16, 1998

    Report

    Report Number
    1217116-1998-00008
    Event Type
    Malfunction
    Date Received
    March 16, 1998
    Date of Event
    February 14, 1998
    Report Date
    February 14, 1998
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    IZJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY, THE FILM MAGAZINE DETACHED FROM THE CINE CAMERA AND FELL AND HIT THE PT. NO INJURIES OR IMPACT TO THE PT WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARRITECHNO CINE CAMERA 35MM CINE CAMERA IZJ PHILIPS MEDICAL SYSTEMS 9896-010-04721 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other