BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CS 2

    MDR report key: 176422 · Received July 7, 1998

    Report

    Report Number
    1217116-1998-00016
    Event Type
    Malfunction
    Date Received
    July 7, 1998
    Date of Event
    June 1, 1998
    Report Date
    June 1, 1998
    Manufacturer
    PHILIPS SYSTEME MEDEZIN
    Product Code
    IYB
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, AS THE X-RAY TECH WAS MOVING THE OVERHEAD TUBE, ONE OF THE CABLE BRACKET HANGERS DETACHED FROM THE CS 2 X-RAY TUBE CEILING SUSPENSION AND ALLEGEDLY THE HANGER AND CABLING HOSE FELL STRIKING THE PT IN THE LEFT HIP WHICH WAS THE AREA OF HER BODY JUST X-RAYED. REPORTEDLY, THE PT EXPERIENCED PAIN IN THAT AREA BUT DID NOT REQUIRE MED ATTENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CS 2 DIAGNOSTIC X-RAY TUBE MOUNT IYB PHILIPS SYSTEME MEDEZIN 9896-010-06521 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN