MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-23 for 16.2 PINNACLE3 SW 459801419351 manufactured by Philips Medical Systems.
[128585858]
Patient Sequence No: 1, Text Type: N, H10
[128585859]
The wedge id is not exported via dicom unless manufacture code is populated in physics (300a,00d4). Initial investigation resulted in the realization that there was no manufacture code for the edw wedge in physics. This resulted in no wedge id being exported via dicom to the r&v system.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3004022368-2018-00005 |
| MDR Report Key | 8100110 |
| Date Received | 2018-11-23 |
| Date of Report | 2018-10-24 |
| Date Mfgr Received | 2018-10-24 |
| Date Added to Maude | 2018-11-23 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MRS. JILL KAEDER |
| Manufacturer Street | 5520 NOBEL DRIVE, SUITE 125 |
| Manufacturer City | FITCHBURG WI 53711 |
| Manufacturer Country | US |
| Manufacturer Postal | 53711 |
| Manufacturer G1 | PHILIPS MEDICAL SYSTEMS |
| Manufacturer City | FITCHBURG WI |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | 16.2 PINNACLE3 SW |
| Generic Name | SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING |
| Product Code | MUJ |
| Date Received | 2018-11-23 |
| Model Number | 459801419351 |
| Catalog Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PHILIPS MEDICAL SYSTEMS |
| Manufacturer Address | 5520 NOBEL DRIVE, SUITE 125 FITCHBURG WI 53711 US 53711 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2018-11-23 |