BEUDAMED
    FDA Adverse Event Other Summary report: N

    CT9000 ADV UC/MOB

    MDR report key: 635460 · Received September 16, 2005

    Report

    Report Number
    1518293-2005-00023
    Event Type
    Other
    Date Received
    September 16, 2005
    Date of Event
    August 31, 2005
    Report Date
    September 1, 2005
    Manufacturer
    LIEBEL FLARSHEIM
    Product Code
    DXT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER CALLED FOR EVALUATION OF INJECTOR SYSTEM DUE TO POSSIBLE AIR INJECTION. CUSTOMER WILL NOT PROVIDE ANY FURTHER INFORMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CT9000 ADV UC/MOB ANGIOGRAPHIC POWER INJECTOR DXT LIEBEL FLARSHEIM CT9000ADV NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other