BEUDAMED
    FDA Adverse Event Summary report: N

    IRIX -70

    MDR report key: 563291 · Received March 2, 2004

    Report

    Report Number
    8020825-2004-00004
    Date Received
    March 2, 2004
    Date of Event
    February 17, 2004
    Report Date
    February 23, 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

    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