FDA Adverse Event
Malfunction
Summary report: N
ECONOLITH LITHOTRIPTOR (ESWL)
MDR report key: 294875
·
Received September 7, 2000
Report
- Report Number
- 294875
- Event Type
- Malfunction
- Date Received
- September 7, 2000
- Date of Event
- August 22, 2000
- Report Date
- August 30, 2000
- Manufacturer
- MEDISPEC LTD
- Product Code
- FED
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ESWL MACHINE (ULTRASOUND MACHINE USED FOR URINARY TRACT STONES) WOULD NOT WORK IN CONJUNCTION WITH EKG. PT'S CASE HAD TO BE CANCELLED AT THE LAST MINUTE BECAUSE THE BOX WOULD NOT "GATE" THE SHOCK WAVES THROUGH THE EKG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ECONOLITH LITHOTRIPTOR (ESWL) | ULTRASOUND "GATING BOX" | FED | MEDISPEC LTD | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Other |