BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS

    MDR report key: 225729 · Received May 27, 1999

    Report

    Report Number
    MW1016421
    Event Type
    Malfunction
    Date Received
    May 27, 1999
    Date of Event
    May 15, 1999
    Report Date
    May 27, 1999
    Manufacturer
    PHILIPS MEDICAL SYSTEMS NORTH AMERICA, INC.
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE PERFORMING BRONCHOSCOPY WITH TRACHEAL/BRONCHIAL STENT PLACEMENT, FLUOROSCOPY C-ARM EQUIPMENT STOPPED PRODUCING FLUOROSCOPY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS FLUOROSCOPY VASCULAR UNIT JAA PHILIPS MEDICAL SYSTEMS NORTH AMERICA, INC. INTEGRIS V5000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other