BEUDAMED
    FDA Adverse Event Other Summary report: N

    OVERHEAD COUNTERPOISE SYSTEM

    MDR report key: 183943 · Received August 24, 1998

    Report

    Report Number
    2520313-1998-00041
    Event Type
    Other
    Date Received
    August 24, 1998
    Date of Event
    July 19, 1998
    Report Date
    August 11, 1998
    Manufacturer
    F. WALTER HANEL GMBH
    Product Code
    DXT
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    HOSP REPORTED THAT WHEN TECH TURNED INJECTOR HEAD TOWARDS PT ON THE TABLE, THE OVERHEAD SUPPORT ARM SYS FELL OUT OF THE CEILING. THE INJECTOR HEAD HIT THE TECH ON THE FOOT. MINOR INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OVERHEAD COUNTERPOISE SYSTEM OVERHEAD COUNTERPOISE SYSTEM DXT F. WALTER HANEL GMBH OCS115 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other