ECHOCARDIOGRAPH DEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-03-19 for ECHOCARDIOGRAPH DEVICE manufactured by Unknown.

Event Text Entries

[20429828] Rptr worked as an independant contractor for a businessman. Rptr went to various doctors' offices to perform diagnostic tests. The businessman did the billing for the services. The equipment used was faulty. During the exam his machine did not have color and the doppler stopped working. Businessman still billed pts for services that the customers did not get. He ordered tests that were not needed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1008670
MDR Report Key31320
Date Received1996-03-19
Date of Report1996-03-19
Date Added to Maude1996-03-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameECHOCARDIOGRAPH DEVICE
Generic NameECHOCARDIOGRAPH
Product CodeDXK
Date Received1996-03-19
OperatorHEALTH PROFESSIONAL
Device Availability*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key32391
ManufacturerUNKNOWN
Manufacturer Address*


Patients

Patient NumberTreatmentOutcomeDate
10 1996-03-19

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