BEUDAMED
    FDA Adverse Event Other Summary report: N

    ANGIOMAT 6000 INJECTOR

    MDR report key: 508839 · Received January 27, 2004

    Report

    Report Number
    1518293-2004-00001
    Event Type
    Other
    Date Received
    January 27, 2004
    Report Date
    January 14, 2004
    Manufacturer
    LIEBEL-FLARSHEIM CO.
    Product Code
    DXT
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AIR REPORTED INJECTED INTO PT. INCIDENT PROMPTED REQUEST BY FIELD SERVICE ENGINEER TO CHECK THE INJECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIOMAT 6000 INJECTOR ANGIOGRAPHIC INJECTOR & SYRINGE DXT LIEBEL-FLARSHEIM CO. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other