BEUDAMED
    FDA Adverse Event Summary report: N

    I RIX-70

    MDR report key: 537226 · Received March 18, 2004

    Report

    Report Number
    8020825-2004-00006
    Date Received
    March 18, 2004
    Date of Event
    February 27, 2004
    Report Date
    March 12, 2004
    Manufacturer
    TROPHY RADIOLOGIE
    Product Code
    EAP
    Removal / Correction Number
    Z-1099/1101-5
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CO WAS NOTIFIED 3/2004 X-RAY SCISSOR ARM BROKE AT FIRST KNUCKLE

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA