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