inforMED
MalfunctionIZO

ANTHEM GENERATOR

Received Apr 15, 2019 · Event occurred Apr 28, 2016

Report 1418964-2019-00015 · MDR key 8513770

Device

Generic name

Radiographic Generator

Manufacturer

Del Medical Inc.

Model number

ANTHEM 40-500

Catalog number

110-5120G11

Lot number

NA

Product problems

  • Arcing
  • Arcing

Patient

29 YR

  • Electric Shock
  • Electric Shock

Narrative

Additional Manufacturer Narrative

DURING A RECENT FDA INVESTIGATION IT WAS OBSERVED THAT WE CHOSE NOT TO SUBMIT A MEDICAL DEVICE REPORT FOR THIS CUSTOMER COMPLAINT AS THE COMPLAINT COULD NOT BE SUBSTANTIATED BY OUR INVESTIGATION. WE ARE DUTIFULLY SUBMITTING THIS REPORT AS PART OF THE CONCLUSION FOR THIS OBSERVATION.

Description of Event or Problem

THE OPERATOR REPORTED TO HER MANAGER THAT AFTER OR DURING AN XRAY EXPOSURE SHE HEARD A BANG NOISE AND FELT SOME KIND OF SHOCK.