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