BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SHIMADZU MOBILEDART EVOLUTION

    MDR report key: 5419391 · Received January 15, 2016

    Report

    Report Number
    1000125362-2016-00001
    Event Type
    Injury
    Date Received
    January 15, 2016
    Date of Event
    November 25, 2015
    Report Date
    January 5, 2016
    Manufacturer
    SHIMADZU MEDICAL SYSTEMS
    Product Code
    IZL
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    SC, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER/DEALER REPORTED THAT THE CABLE OF THE POWER CODE WAS BURNT BY SHORT-CIRCUITING WHEN PLUGGING THE POWER CORD. THE DETAIL CAUSE IS UNDER INVESTIGATION. MFR # 8030233-2016-00001.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    30680 SHIMADZU MOBILEDART EVOLUTION MOBILE X-RAY SYSTEM IZL SHIMADZU MEDICAL SYSTEMS MOBILEDART EVOLUTION

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK