BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SFX 90-90 TABLE

    MDR report key: 12355 · Received March 29, 1994

    Report

    Report Number
    MW1001278
    Event Type
    Malfunction
    Date Received
    March 29, 1994
    Date of Event
    March 27, 1994
    Report Date
    March 28, 1994
    Manufacturer
    GENERAL ELECTRIC CO.
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FILMS WERE COMPLETED ON THE BACK AND HIP OF A PT AND A STRETCHER WAS PLACED NEXT TO THE TABLE FOR TRANSFER. AS THE TECH WENT TO THE OPPOSTIE SIDE OF THE STRETCHER, THE X-RAY TABLE BEGAN TO ELEVATE. THE TECHNICIAN IMMEDIATELY PULLED THE STRETCHER AWAY FROM THE TABLE THINKING THAT THE TABLE WOULD STOP. THE TECHNICIAN THEN INFORMED THE PT THAT HE WAS GOING TO BE IN THE ERECT POSITION. THE TABLE DID NOT STOP ANGULATING OR ELEVATING. THE PT WAS TOLD TO BEND DOWN AND WAS REMOVED FROM THE TABLE. THE TECHNICIAN THEN PUSHED THE EMERGENCY BUTTON. THE RPTR STATED THAT THE TOP OF THE TABLE WENT TWO FEET INTO THE 11 FOOT CEILING. ALL INTERLOCKS AND SAFETY MECHANISMS FAILED TO STOP THE TABLE. THE PT WAS NOT INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SFX 90-90 TABLE X-RAY TABLE KXJ GENERAL ELECTRIC CO. 46-262751G1/G2

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR