FDA Adverse Event
Malfunction
Summary report: N
TOSHIBA INFINIX I
MDR report key: 3252425
·
Received July 23, 2013
Report
- Report Number
- MW5031082
- Event Type
- Malfunction
- Date Received
- July 23, 2013
- Date of Event
- July 17, 2013
- Report Date
- July 23, 2013
- Manufacturer
- TOSHIBA
- Product Code
- OWB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OR, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
IMAGING EQUIPMENT IN THE CATH LAB FAILED DURING A PROCEDURE. PT ON THE TABLE AND PROCEDURE IN PROGRESS. JUST BEFORE FINAL IMAGING AND DEPLOYMENT OF CAROTID STENT IMAGING FAILED AND COULD NOT/WOULD NOT RE-BOOT. CASE CANCELED/RESCHEDULED. NO ADVERSE PT EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 342930 | TOSHIBA INFINIX I | IMAGING SYSTEM OF ANGIO CATH LAB | OWB | TOSHIBA | DFP-8000D |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Other |