BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    A13309A

    MDR report key: 192662 · Received October 16, 1998

    Report

    Report Number
    1418964-1998-00003
    Event Type
    Malfunction
    Date Received
    October 16, 1998
    Date of Event
    October 6, 1998
    Report Date
    October 15, 1998
    Manufacturer
    GENDEX-DEL MEDICAL IMAGING CORP.
    Product Code
    IYB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    TUBESTAND BECAME DISENGAGED FROM FLOOR AND CEILING RAILS. TUBESTAND FELL TO ASSISTING THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 A13309A TUBESTAND IYB GENDEX-DEL MEDICAL IMAGING CORP. A13309A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention