BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HUT EXT DR FINAL ASSY-REVERSE

    MDR report key: 6118957 · Received November 21, 2016

    Report

    Report Number
    1518293-2016-00088
    Event Type
    Malfunction
    Date Received
    November 21, 2016
    Date of Event
    October 20, 2016
    Report Date
    November 21, 2016
    Manufacturer
    LIEBEL-FLARSHEIM
    Product Code
    IXR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    RADIOLOGIC TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    MECHANICAL FAILURE; WILL NOT FLURO. UNAWARE OF ANY INJURIES TO PATIENT OR STAFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    767150 HUT EXT DR FINAL ASSY-REVERSE HUT EXT DR FINAL ASSY-REVERSE IXR LIEBEL-FLARSHEIM 404007

    Patients

    Seq Age Sex Outcome Treatment
    1