BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COROSKOP TOP

    MDR report key: 63840 · Received January 10, 1997

    Report

    Report Number
    2240869-1996-00006
    Event Type
    Malfunction
    Date Received
    January 10, 1997
    Date of Event
    December 11, 1996
    Report Date
    January 10, 1997
    Manufacturer
    SIEMENS MEDICAL SYSTEMS, INC.
    Product Code
    IZI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    AS THE C-ARM WAS BEING MOVED INTO THE LAO POSITION, THE FILM MAGAZINE FELL OFF THE CINE CAMERA, WHICH IS SUPPLIED WITH THE C-ARM SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COROSKOP TOP ANGIOGRAPHY FLOUROSCOPIC C-ARM IZI SIEMENS MEDICAL SYSTEMS, INC. 1617450 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA