BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DIAGNOST 66

    MDR report key: 12043 · Received March 15, 1994

    Report

    Report Number
    MW1001089
    Event Type
    Malfunction
    Date Received
    March 15, 1994
    Date of Event
    February 17, 1994
    Report Date
    March 3, 1994
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    RADIOLOGIC TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    PT WAS HAVING UPPER GI X-RAYS TAKEN. TABLE WAS HORIZONTAL. PT WAS TURNING AND HOLDING ON TO UPPER EDGE OF TABLE. HAND BAR WAS IN PLACE. PT HAD BEEN INSTRUCTED BY TECHNOLOGIST TO HOLD ONTO HAND BAR. PT THOUGHT SHE WAS HOLDING HAND BAR BUT ACTUALLY WAS HOLDING ON TO THE TOP EDGE OF THE TABLE. RADIOLOGIST MOVED THE TABLE TOP AND THE 2 FINGERS ON HER RIGHT HAND WERE CAUGHT IN EDGE OF TABLE. FINGERS WERE LACERATED AND PART OF ONE NAIL REMOVED. REQUIRED SPLINTING OF FINGERS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DIAGNOST 66 KXJ PHILIPS MEDICAL SYSTEMS

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR Other