BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOSHIBA

    MDR report key: 518347 · Received February 2, 2004

    Report

    Report Number
    2020563-2004-00001
    Event Type
    Malfunction
    Date Received
    February 2, 2004
    Date of Event
    January 7, 2004
    Report Date
    February 2, 2004
    Manufacturer
    TOSHIBA MEDICAL SYSTEMS CORPORATION
    Product Code
    JAK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    AN OVERSEAS FACILITY REPORTED THAT THE INCORRECT PT INFO ALLEGEDLY WAS DISPLAYED DURING A CT EXAMINATION. THERE HAVE BEEN NO EVENTS OF THIS NATURE REPORTED IN THE US.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOSHIBA X-RAY, COMPUTERIZED TOMOGRAPHY JAK TOSHIBA MEDICAL SYSTEMS CORPORATION TSX-101A *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA