FDA Adverse Event
Malfunction
Summary report: N
LORAD M III MAMMOGRAPHY
MDR report key: 80341
·
Received March 27, 1997
Report
- Report Number
- 80341
- Event Type
- Malfunction
- Date Received
- March 27, 1997
- Date of Event
- October 11, 1996
- Report Date
- October 17, 1996
- Manufacturer
- LORAD TREX MEDICAL CORP.
- Product Code
- IZH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- LA, US
- Reporter Occupation
- RADIOLOGIC TECHNOLOGIST
Narratives
Description of Event or Problem · 1
PT HAD BURNS ON HER CHEST THAT CORRESPOND TO THE THREE SCREW HEADS ON THE END OF THE MAMMOGRAPHY BUCKY. PT WAS HAVING A NEEDLE PLACEMENT MAMMOGRAPHY. FOUND 15VDC ON SCREW HEADS OF THE BUCKY. FOUND 15VDC WIRE PINCHED AND SHORTED TO FRAME OF BUCKY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LORAD M III MAMMOGRAPHY | MAMMOGRAPHY UNIT | IZH | LORAD TREX MEDICAL CORP. | M III | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 39 YR | Other |