SIEMENS *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-12-04 for SIEMENS * manufactured by Siemens Medical Systems.

Event Text Entries

[18598142] During a left heart catheterization the fluoroscopy and cine were not functional. Pt was moved to another room with no harm resulting to the pt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1015111
MDR Report Key200549
Date Received1998-12-04
Date of Report1998-11-24
Date of Event1998-11-18
Date Added to Maude1998-12-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSIEMENS
Generic NameFLUORO
Product CodeIZJ
Date Received1998-12-04
Model Number*
Catalog Number*
Lot Number*
ID NumberFIXED BY SIEMENS 11/20/1998
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key194806
ManufacturerSIEMENS MEDICAL SYSTEMS
Manufacturer Address16 ELECTRONICS AVE. DANVERS MA 01923 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-12-04

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