FDA Adverse Event
Other
Summary report: N
HEXAPOD
MDR report key: 1033068
·
Received April 22, 2008
Report
- Report Number
- 9710332-2008-00001
- Event Type
- Other
- Date Received
- April 22, 2008
- Date of Event
- March 11, 2008
- Report Date
- March 20, 2008
- Manufacturer
- MEDICAL INTELLIGENCE MEDIZINTECHNIK GMBH
- Product Code
- JAI
- PMA / PMN Number
- K071870
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE PT FELL FROM THE TABLE ON THE HEXAPOD AND INJURED HIMSELF. HE WAS ATTEMPTING TO GET OFF OF THE TABLE AND DUE TO THE HEIGHT HAD TO STEP ONTO THE STEP STOOL. HE MISSTEPPED AND FELL, BRUISING HIS KNEES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HEXAPOD | RT COUCHTOP (IBEAM 14) | JAI | MEDICAL INTELLIGENCE MEDIZINTECHNIK GMBH | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Other |