BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHIMADZU MEDICAL SYSTEMS

    MDR report key: 17817 · Received October 26, 1994

    Report

    Report Number
    38931-1994-09001
    Event Type
    Malfunction
    Date Received
    October 26, 1994
    Date of Event
    September 21, 1994
    Report Date
    October 4, 1994
    Manufacturer
    SHIMADZU MEDICAL SYSTEMS
    Product Code
    IXR
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FOOT BOARD FELL OFF X-RAY TABLE WHEN TABLE WAS VERTICAL. PT WAS STANDING ON FOOT BOARD, AND FELL. NO KNOWN INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHIMADZU MEDICAL SYSTEMS X-RAY TABLE FOOT BOARD IXR SHIMADZU MEDICAL SYSTEMS

    Patients

    Seq Age Sex Outcome Treatment
    1 *