FDA Adverse Event
Malfunction
Summary report: N
CS 62
MDR report key: 188544
·
Received September 17, 1998
Report
- Report Number
- 1217116-1998-00023
- Event Type
- Malfunction
- Date Received
- September 17, 1998
- Date of Event
- August 14, 1998
- Report Date
- August 14, 1998
- Manufacturer
- PHILIPS SYSTEME MEDEZIN
- Product Code
- IYB
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
REPORTEDLY, AS THE X-RAY TECH WAS POSITIONING THE TUBE CRANE DURING A CERVICAL SPINE EXAM, THE X-RAY TUBE DROPPED UNINTENDEDLY TO THE FULLEST EXTENSION OF ITS TELESCOPING ARM. THE PT WAS NOT STRUCK AND NO INJURIES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CS 62 | DIAGNOSTIC X-RAY TUBE MOUNT | IYB | PHILIPS SYSTEME MEDEZIN | 9804-182-20102 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |