FDA Adverse Event Summary report: N

IRIX-70

MDR report key: 518656 · Received February 5, 2004

Report

Report Number
8020825-2004-00002
Date Received
February 5, 2004
Date of Event
January 21, 2004
Report Date
January 23, 2004
Manufacturer
TROPHY RADIOLOGIE
Product Code
EAP
Removal / Correction Number
Z-1099/1101-5
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

X-RAY SCISSOR ARM BROKE AT FIRST KNUCKLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IRIX-70 DENTAL X-RAY SYSTEM EAP TROPHY RADIOLOGIE NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA