INJ. OPTIV DH, W/OEM 844007

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-11 for INJ. OPTIV DH, W/OEM 844007 manufactured by Liebel-flarsheim.

Event Text Entries

[105419765] The contrast was injected, the psi "was fine", "there was no contrast enhancement inside the images". "the contrast was injected into her tissue and not into her veins" they were using opti-ray contrast. They stated the customer had some pain put a cold pack in the area.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1518293-2018-00010
MDR Report Key7421640
Date Received2018-04-11
Date of Report2018-04-11
Date of Event2018-03-15
Date Mfgr Received2018-03-15
Device Manufacturer Date2016-08-31
Date Added to Maude2018-04-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRADIOLOGIC TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactFRED RECKELHOFF
Manufacturer Street2111 E. GALBRAITH RD
Manufacturer CityOH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameINJ. OPTIV DH, W/OEM
Generic NameINJ. OPTIV DH, W/OEM
Product CodeIZQ
Date Received2018-04-11
Model Number844007
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM
Manufacturer Address2111 E. GALBRAITH RD CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-11

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