BEUDAMED
    FDA Adverse Event Other Summary report: N

    MED RAD

    MDR report key: 751420 · Received August 3, 2005

    Report

    Report Number
    MW1036228
    Event Type
    Other
    Date Received
    August 3, 2005
    Date of Event
    June 28, 2005
    Report Date
    July 11, 2005
    Manufacturer
    MEDRAD
    Product Code
    DXT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MED RAD INJECTOR FOUND NOT TO BE FUNCTIONING PROPERLY WHEN NEEDED TO BE INJECTING FOR LV GRAM. INJECTOR TAKEN OUT OF SERVICE, IMAGING ENGINEERS CALLED, COMPANY NOTIFIED. INJECTOR REPLACED WITH NEW INJECTOR. NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MED RAD INJECTOR DXT MEDRAD MARK V PLUS *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other