FDA Adverse Event Malfunction Summary report: N

MICROVISION CI

MDR report key: 272559 · Received March 31, 2000

Report

Report Number
1063474-2000-00001
Event Type
Malfunction
Date Received
March 31, 2000
Date of Event
February 21, 2000
Report Date
March 31, 2000
Manufacturer
AGFA CORP.
Product Code
IWZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE FILM REPORTEDLY EXHIBITED LOW DENSITY ARTIFACTS WHICH SUPPOSEDLY COULD RESEMBLE MICRO-CALCIFICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICROVISION CI RADIOGRAPHIC FILM IWZ AGFA CORP. 592 9091-0341-04, 9081-0584-01

Patients

Seq Age Sex Outcome Treatment
1 *