HUT EXT DR FINAL ASSY-STANDARD 404008

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-14 for HUT EXT DR FINAL ASSY-STANDARD 404008 manufactured by Liebel-flarsheim.

Event Text Entries

[127349660] This incident was reported on (b)(6) 2018 as fluoro exceeding max exposure through lead. The technician stated that the event occurred during a procedure, which was completed, and there was no injury to patient or staff. The reporter stated that the fluoro exceeded limit of 10 rad per minute.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1518293-2018-00043
MDR Report Key8071373
Date Received2018-11-14
Date of Report2018-10-17
Date of Event2018-10-17
Date Mfgr Received2018-10-17
Device Manufacturer Date2007-12-31
Date Added to Maude2018-11-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactFRED RECKELHOFF
Manufacturer Street2111 E GALBRAITH ROAD
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHUT EXT DR FINAL ASSY-STANDARD
Generic NameHUT EXT DR FINAL ASSY-STANDARD
Product CodeIXR
Date Received2018-11-14
Model Number404008
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM
Manufacturer Address2111 E GALBRAITH ROAD CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-14

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