BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDRAD CT INJECTOR

    MDR report key: 217735 · Received April 1, 1999

    Report

    Report Number
    2520313-1999-00016
    Event Type
    Other
    Date Received
    April 1, 1999
    Date of Event
    March 2, 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
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE BOLT SNAPPED IN THE PIVOT KNUCKLE ON THE INJECTOR HEAD. THE HEAD FELL, BUT WAS CAUGHT BY THE TECH. NO ONE INJURED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other