MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-08-04 for UNKNOWN manufactured by Unknown.
[15448400]
It was reported to ge that the plaintiff slipped and fell in slippery fluid that leaked from the x-ray processor. This information provided to ge in the form of a summons. No other information is available at this timedevice not labeled for single use. Patient medical status prior to event: unknown. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Invalid data - whether device used as labeled/intended. Invalid data - regarding evaluation by user after event. Method of evaluation: none or unknown. Results of evaluation: none or unknown. Conclusion: none or unknown. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: none or unknown. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2126677-1992-00001 |
| MDR Report Key | 1052 |
| Date Received | 1992-08-04 |
| Date of Report | 1992-07-09 |
| Date of Event | 1991-03-19 |
| Report Date | 1992-07-09 |
| Date Reported to FDA | 1992-07-09 |
| Date Reported to Mfgr | 1992-07-01 |
| Date Added to Maude | 1992-08-17 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | UNKNOWN |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNKNOWN |
| Generic Name | X-RAY FILM PROCESSOR |
| Product Code | IXW |
| Date Received | 1992-08-04 |
| Model Number | UNKNOWN |
| Catalog Number | UNKNOWN |
| Lot Number | N/A |
| ID Number | UNKNOWN |
| Operator | OTHER |
| Device Availability | * |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 1008 |
| Manufacturer | UNKNOWN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 1992-08-04 |