FDA Adverse Event Summary report: N

IRIX-70

MDR report key: 526341 · Received February 19, 2004

Report

Report Number
8020825-2004-00003
Date Received
February 19, 2004
Date of Event
February 12, 2004
Report Date
February 16, 2004
Manufacturer
TROPHY RADIOLOGIE
Product Code
EAP
Removal / Correction Number
Z-1099/1101-5
Report Source
Manufacturer report
Reporter Location
VA, 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