BEUDAMED
    FDA Adverse Event Other Summary report: N

    PICKER

    MDR report key: 357627 · Received October 1, 2001

    Report

    Report Number
    MW1023186
    Event Type
    Other
    Date Received
    October 1, 2001
    Date of Event
    September 25, 2001
    Report Date
    September 27, 2001
    Manufacturer
    *
    Product Code
    IZO
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING AN INTERVENTIONAL PROCEDURE (SHUNTGRAM) FACILITY EXPERIENCED EQUIPMENT FAILURE AND COULD NOT ACQUIRE ANY ADD'L IMAGES. RESULT: INCOMPLETE EXAM. PT WAS NOT HARMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    44716 PICKER R&F ROOM IZO * 78820 *

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other