BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PACSCUBE

    MDR report key: 5605403 · Received April 25, 2016

    Report

    Report Number
    3003341080-2016-00001
    Event Type
    Malfunction
    Date Received
    April 25, 2016
    Date of Event
    April 21, 2016
    Manufacturer
    DATCARD SYSTEMS, INC
    Product Code
    LMD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER PLUGGED MONITOR AND PC INTO THE POWER SUPPLY, THEN PLUGGED POWER SUPPLY INTO POWER OUTLET. WHEN HE PUSHED THE POWER BUTTON ON THE POWER SUPPLY, IT SPARKED AND BEGAN TO FLAME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    261632 PACSCUBE DIGITAL IMAGE COMMUNICATIONS DEVICE LMD DATCARD SYSTEMS, INC

    Patients

    Seq Age Sex Outcome Treatment
    1