BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHIMADZU

    MDR report key: 111257 · Received July 31, 1997

    Report

    Report Number
    MW1011843
    Event Type
    Malfunction
    Date Received
    July 31, 1997
    Date of Event
    July 15, 1997
    Report Date
    July 28, 1997
    Manufacturer
    SHIMADZU MEDICAL SYSTEMS
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT LAYING ON X-RAY TABLE FOR ABDOMINAL SERIES. AUTOMATIC FILM HOLDER FORCED FILM OUT CATCHING PT'S FINGER. SOFT TISSUE INJURY TO FINGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHIMADZU X RAY TABLE KXJ SHIMADZU MEDICAL SYSTEMS UDT508-10 *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other