BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DYNARAD

    MDR report key: 608555 · Received July 6, 2004

    Report

    Report Number
    1418964-2004-00003
    Event Type
    Malfunction
    Date Received
    July 6, 2004
    Date of Event
    June 4, 2004
    Report Date
    June 4, 2004
    Manufacturer
    DEL MEDICAL IMAGING CORP.
    Product Code
    IZL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE SETTING IT UP FOR USE, THE TUBEHEAD ASSEMBLY OF A PORTABLE X-RAY UNIT SLID OUT OF THE END OF THE BOOM ARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DYNARAD PORTABLE X-RAY EQUIPMENT IZL DEL MEDICAL IMAGING CORP. PHANTOM JAN 2004

    Patients

    Seq Age Sex Outcome Treatment
    1 *