BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIEMENS - COROSKOP

    MDR report key: 175649 · Received June 30, 1998

    Report

    Report Number
    175649
    Event Type
    Injury
    Date Received
    June 30, 1998
    Date of Event
    April 15, 1998
    Report Date
    April 29, 1998
    Manufacturer
    SIEMENS
    Product Code
    IZO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REPORT OF INCIDENT CALLED TO COMPANY 4/15/98. SIEMENS XRAY EQUIPMENT WENT DOWN AND WOULD NOT REBOOT. PT HAD INTROCORONARY WIRE PLACED AND HAD TO BE MOVED TO ANOTHER LAB. THROMBUS DEVELOPED IN VESSEL BUT RESOLVED WITHOUT INJURY TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMENS - COROSKOP X RAY EQUIP. IZO SIEMENS COROSKOP *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Life Threatening