BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHILIPS MEDICAL SYSTEMS, INC.

    MDR report key: 159133 · Received March 9, 1998

    Report

    Report Number
    MW1013373
    Event Type
    Other
    Date Received
    March 9, 1998
    Date of Event
    March 7, 1998
    Manufacturer
    PHILIPS MEDICAL SYSTEMS, INC.
    Product Code
    JAK
    Report Source
    Voluntary report
    Reporter Occupation
    PHYSICIST

    Narratives

    Description of Event or Problem · 1

    TABLE MOVED APPROX 10 CM SPONTANEOUSLY DURING INSERTION OF PELVIC DRAINAGE CATHETER VIA TRANSGLUTEAL APPROACH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS MEDICAL SYSTEMS, INC. CT SCANNER JAK PHILIPS MEDICAL SYSTEMS, INC. AV-EXPANDER *

    Patients

    Seq Age Sex Outcome Treatment
    1 9 YR Other