BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PHILIPS MEDICAL

    MDR report key: 149753 · Received February 13, 1998

    Report

    Report Number
    MW1013012
    Event Type
    Injury
    Date Received
    February 13, 1998
    Date of Event
    February 5, 1998
    Report Date
    February 12, 1998
    Manufacturer
    PHILIPS MEDICAL SYSTEMS NORTH AMERICA CO.
    Product Code
    IXR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    COLON EXAM BEING DONE. WHEN TABLE WAS MOVED TOWARDS HEAD END, PT'S HAND/FINGERS WERE PINCHED BETWEEN UNDERSIDE OF TOP & TABLE FRAME. TABLE TOP WAS EXAMINED & FOUND TO BE INSTALLED IN REVERSE, AND OR END.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS MEDICAL D76 + TABLE RF ROOM X-RAY TABLE IXR PHILIPS MEDICAL SYSTEMS NORTH AMERICA CO. D76+ *

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Hospitalization| O| R| S