FDA Adverse Event Summary report: N

PHILIPS DIAG. CINE EQUIPMENT II SHIELD

MDR report key: 26853 · Received July 18, 1995

Report

Report Number
26853
Date Received
July 18, 1995
Manufacturer
PHILIPS MEDICAL SYSTEMS NA
Product Code
IWO
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

DURING DIAGNOSTIC CARDIAC PROCEDURE, CINE EQUIPMENT FAILED TO DISPLAY VIDEO PICTURES ON THE MONITOR. CO'S REPAIR TECHNICIAN IMMEDIATELY CAME INTO THE ROOM AND ADJUSTMENTS WERE MADE. CINE VIDEO CONTINUED TO BE FAULTY WHERE DR COULD NOT VISUALUZE CINE RUN. PROCEDURE INCOMPLETE.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PHILIPS DIAG. CINE EQUIPMENT II SHIELD PHILIPS DIAG. CINE EQUIPMENT II SHIELD IWO PHILIPS MEDICAL SYSTEMS NA 1704580.046

Patients

Seq Age Sex Outcome Treatment
1 UNK Invalid Data