AXIOM ARTIS ZEE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-13 for AXIOM ARTIS ZEE manufactured by Siemens Medical Solutions Usa, Inc.

Event Text Entries

[116886648] Patient placed on table in ir (interventional radiology) room 1: siemens artis biplane room. After starting the procedure the table locked and it couldn't be moved. Lost ability to use tableside controls. Manufacturer response for ir angiography suite, axiom artis (per site reporter) : pending.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7776261
MDR Report Key7776261
Date Received2018-08-13
Date of Report2018-08-08
Date of Event2018-07-25
Report Date2018-08-08
Date Reported to FDA2018-08-08
Date Reported to Mfgr2018-08-13
Date Added to Maude2018-08-13
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAXIOM ARTIS
Generic NameSTATIONARY ANGIOGRAPHIC X-RAY SYSTEM, DIGITAL
Product CodeIZI
Date Received2018-08-13
Model NumberZEE
Device AvailabilityY
Device Age12 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS MEDICAL SOLUTIONS USA, INC
Manufacturer Address40 LIBERTY BOULEVARD MAILCODE: 65-1A MALVERN PA 19355 US 19355


Patients

Patient NumberTreatmentOutcomeDate
10 2018-08-13

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