MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-09-10 for LEAD APRON * 2655L3 manufactured by E-z-em, Inc..
[67194]
Lead apron was contaminated when tested with geiger counter by the distributor.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1012050 |
| MDR Report Key | 118664 |
| Date Received | 1997-09-10 |
| Date of Report | 1997-09-10 |
| Date of Event | 1997-07-01 |
| Date Added to Maude | 1997-09-11 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LEAD APRON |
| Generic Name | LEAD APRON |
| Product Code | EAJ |
| Date Received | 1997-09-10 |
| Returned To Mfg | 1997-08-20 |
| Model Number | * |
| Catalog Number | 2655L3 |
| Lot Number | 104 |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 116358 |
| Manufacturer | E-Z-EM, INC. |
| Manufacturer Address | 717 MAIN ST WESTBURY NY 11590 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1997-09-10 |