BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRESTIGE VH FOOT REST

    MDR report key: 122922 · Received September 26, 1997

    Report

    Report Number
    57331-1997-00033
    Event Type
    Malfunction
    Date Received
    September 26, 1997
    Date of Event
    August 7, 1997
    Report Date
    September 26, 1997
    Manufacturer
    GENERAL ELECTRIC CO.
    Product Code
    KXJ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO GE THAT THE FOOT REST DETACHED WHILE A PT WAS ON IT. NO INJURY WAS REPORTED. FOOT REST HAS BEEN REPLACED WITH A NEWER DESIGN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRESTIGE VH FOOT REST DIAGNOSTIC X-RAY KXJ GENERAL ELECTRIC CO. 2119251 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 *