FDA Adverse Event
Other
Summary report: N
TOSHIBA AP X-RAY TUBE /2. IMAGE INTENSIFIER
MDR report key: 23766
·
Received July 12, 1995
Report
- Report Number
- 23766
- Event Type
- Other
- Date Received
- July 12, 1995
- Date of Event
- February 3, 1995
- Report Date
- July 12, 1995
- Manufacturer
- TOSHIBA MEDICAL
- Product Code
- JAA
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PT UNDERWENT LEFT CARDIAC CATHERIZATION ON 1/26/95, PTCA ON 1/30/95, AND LEFT CARDIAC CATHERIZATION ON 2/3/95, ALL UNDER FLUOROSCOPIC GUIDANCE. HE SUBSEQUENTLY SUSTAINED AN AREA OF BURN ON HIS RIGHT BACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOSHIBA AP X-RAY TUBE /2. IMAGE INTENSIFIER | TOSHIBA AP X-RAY TUBE / 2. IMAGE INTENSIFIER | JAA | TOSHIBA MEDICAL | 1. TSUA-2 2. OP92SE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Other |