BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BV LIBRA 6"

    MDR report key: 2020610 · Received February 10, 2011

    Report

    Report Number
    3003768277-2011-00121
    Event Type
    Malfunction
    Date Received
    February 10, 2011
    Report Date
    January 13, 2011
    Manufacturer
    PHILIPS HEALTHCARE
    Product Code
    IZL
    PMA / PMN Number
    K010762
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THIS EVENT IS STILL UNDER INVESTIGATION. THE FOLLOW-UP REPORT WILL BE SENT BY 04/11/2011.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT "X-RAY IS GETTING STUCK."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BV LIBRA 6" IZL PHILIPS HEALTHCARE 718020

    Patients

    Seq Age Sex Outcome Treatment
    1