Brand Name | EASYDIAGNOST ELEVA |
Type of Device | TABLE, RADIOGRAPHIC, TILTING |
Manufacturer (Section D) |
PHILIPS MEDICAL SYSTEMS DMC GMBH |
100 park avenue suite 300 |
orange village OH 44122 |
|
MDR Report Key | 12512069 |
MDR Text Key | 272764526 |
Report Number | 12512069 |
Device Sequence Number | 1 |
Product Code |
IXR
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
09/14/2021,09/13/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 448485 |
Device Catalogue Number | 448485 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 09/14/2021 |
Event Location |
Hospital
|
Date Report to Manufacturer | 09/22/2021 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 09/22/2021 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|