BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDRAD CT INJECTOR

    MDR report key: 217730 · Received April 1, 1999

    Report

    Report Number
    2520313-1999-00015
    Event Type
    Other
    Date Received
    April 1, 1999
    Date of Event
    February 22, 1999
    Report Date
    April 1, 1999
    Manufacturer
    MEDRAD, INC.
    Product Code
    DXT
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE NYLON BUSHING AT THE TOP OF PEDESTAL RISER TUBE BROKE. NO ONE INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDRAD CT INJECTOR CT INJECTOR DXT MEDRAD, INC. ECT NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other