TROPHY-FU47 FU-47 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-08-03 for TROPHY-FU47 FU-47 * manufactured by Trophy.

Event Text Entries

[207823] This is the failure of the new design which was supposed to fix the old design failure of radiographic head and arm breaking off and crashing down on a supine pt and/or operator trophy's previous voluntary recall was supposed to address this problem. This unit was newly modified by trophy. The problem is not fixed and is dangerous.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1022559
MDR Report Key345663
Date Received2001-08-03
Date of Report2001-08-03
Date of Event2001-08-01
Date Added to Maude2001-08-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTROPHY-FU47
Generic NameX-RAY UNIT
Product CodeFAP
Date Received2001-08-03
Returned To Mfg2001-08-02
Model NumberFU-47
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key334996
ManufacturerTROPHY
Manufacturer Address106 RUE DE LA JARRY VINCENNES FR


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2001-08-03

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