BEUDAMED
    FDA Adverse Event Other Summary report: N

    ANGIOMAT CT9000 INJECTOR

    MDR report key: 493250 · Received October 31, 2003

    Report

    Report Number
    1518293-2003-00031
    Event Type
    Other
    Date Received
    October 31, 2003
    Date of Event
    September 30, 2003
    Report Date
    October 1, 2003
    Manufacturer
    LIEBEL-FLARSHEIM COMPANY
    Product Code
    DXT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AN AIR INJECTION OCCURRED USING A 125ML PRE-FILLED SYRINGE WITH OPTIRAY 320 WITH A CT9000 ADV INJECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIOMAT CT9000 INJECTOR ANGIOGRAPHIC INJECTOR & SYRINGE DXT LIEBEL-FLARSHEIM COMPANY * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other