FDA Adverse Event
Malfunction
Summary report: N
HUT EXT DR FINAL ASSY-REVERSE
MDR report key: 1243091
·
Received November 21, 2008
Report
- Report Number
- 1518293-2008-00362
- Event Type
- Malfunction
- Date Received
- November 21, 2008
- Date of Event
- November 4, 2008
- Report Date
- November 4, 2008
- Manufacturer
- LIEBEL-FLARSHEIM CO.
- Product Code
- KQS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
LIEBEL FLARSHEIM MANUFACTURING REPORT: FIELD SERVICE ENGINEER TROUBLESHOT PROBLEM OF NO LATERAL MOVEMENT, AND LUBRICATED THE LATERAL BEARING ASSEMBLY. FSE VERIFIED PROPER OPERATION PER HUT SERVICE MANUAL FLAT PANEL CONFIGURATION AND PARTS MANUAL. UNIT RETURNED TO FULL SERVICE BY THE CUSTOMER.
Description of Event or Problem · 1
CUSTOMER REPORTS THAT DURING A RETROGRADE TYPE PROCEDURE WITH A VERY LARGE PATIENT, THE TABLE WOULD NOT MOVE AT ALL. CUSTOMER UNWILLING TO PROVIDE PATIENT'S INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HUT EXT DR FINAL ASSY-REVERSE | UROLOGY SUITE | KQS | LIEBEL-FLARSHEIM CO. | HUT EXT DR | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |