BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CS 62

    MDR report key: 124556 · Received September 30, 1997

    Report

    Report Number
    1217116-1997-00032
    Event Type
    Malfunction
    Date Received
    September 30, 1997
    Date of Event
    September 3, 1997
    Report Date
    September 3, 1997
    Manufacturer
    PHILIPS SYSTEME MEDEZIN
    Product Code
    IYB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, THE COVER OF THE X-RAY TUBE CEILING SUSPENSION FELL AND ALLEGEDLY STRUCK THE TECHNOLOGIST'S FINGER RESULTING IN A BRUISED FINGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CS 62 X-RAY TUBE CEILING SUSPENSION IYB PHILIPS SYSTEME MEDEZIN 9804-182-20102 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other