MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-31 for PHILIPS MEDICAL SYSTEM ALLURA XPER FD20 manufactured by Philips Medical Systems.
| Report Number | 8869999 |
| MDR Report Key | 8869999 |
| Date Received | 2019-07-31 |
| Date of Report | 2019-07-28 |
| Date of Event | 2019-07-23 |
| Date Facility Aware | 2019-07-23 |
| Report Date | 2019-07-28 |
| Date Reported to FDA | 2019-07-28 |
| Date Reported to Mfgr | 2019-07-28 |
| Date Added to Maude | 2019-08-07 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PHILIPS MEDICAL SYSTEM |
| Generic Name | X-RAY, R&F ROOM, CARDIO |
| Product Code | LLZ |
| Date Received | 2019-07-31 |
| Model Number | ALLURA XPER FD20 |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PHILIPS MEDICAL SYSTEMS |
| Manufacturer Address | LAKEWOOD CO 80401 US 80401 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-07-31 |