FDA Adverse Event
Injury
Summary report: N
CARDIAC CATH
MDR report key: 9516224
·
Received December 23, 2019
Report
- Report Number
- MW5091863
- Event Type
- Injury
- Date Received
- December 23, 2019
- Date of Event
- November 3, 2019
- Report Date
- December 20, 2019
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V./ PHILIPS
- Product Code
- IZI
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
HARD DRIVE ON CARDIAC CATH CRASHED RESULTING IN IMAGES OBTAINED DURING STUDY TO BE DELETED AND UNABLE TO BE RECOVERED. SITE # (B)(4); SOFTWARE RELEASE # 8.1.17.2. FDA SAFETY REPORT ID # (B)(4)(
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1308709 | CARDIAC CATH | SYSTEM, X-RAY, ANGIOGRAPHIC | IZI | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V./ PHILIPS | ALLURA FD20 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |