BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 530040 · Received June 3, 2004

    Report

    Report Number
    MW1032270
    Event Type
    Injury
    Date Received
    June 3, 2004
    Date of Event
    May 28, 2004
    Report Date
    June 3, 2004
    Manufacturer
    *
    Product Code
    IZO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PT WENT FOR X-RAY AND GOT BURNS ON FOREHEAD, FACE, EYES AND LEFT SHOULDER. SOME OINTMENT WAS APPLIED TO THE BURNS. THE X-RAYS WERE DONE AT MEDICAL CENTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * X-RAY IZO * UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization