ICON 5219527

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1998-12-02 for ICON 5219527 manufactured by Siemens Medical Systems, Inc., Nmg Group.

Event Text Entries

[114870] In autoperfusion program, load a gated stress and non-gated rest study. If save obliques option is used when the gated data is displayed the saved non-gated rest file does not contain the rest data of time bin four.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423253-1998-00007
MDR Report Key200863
Report Source06
Date Received1998-12-02
Date of Report1998-11-10
Date of Event1998-11-10
Date Added to Maude1998-12-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameICON
Generic NameCOMPUTER
Product CodeJWM
Date Received1998-12-02
Model NumberNA
Catalog Number5219527
Lot NumberNA
ID NumberNA
OperatorOTHER
Device AvailabilityN
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key195111
ManufacturerSIEMENS MEDICAL SYSTEMS, INC., NMG GROUP
Manufacturer Address2501 NORTH BARRINGTON RD. HOFFMAN ESTATES IL 60195 US
Baseline Brand NameICON
Baseline Generic NameCOMPUTER
Baseline Model NoNA
Baseline Catalog No5219527
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-12-02

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