BEUDAMED
    FDA Adverse Event Other Summary report: N

    X-RAY TABLE

    MDR report key: 19327 · Received February 1, 1995

    Report

    Report Number
    MW1004954
    Event Type
    Other
    Date Received
    February 1, 1995
    Date of Event
    January 18, 1995
    Report Date
    January 18, 1995
    Manufacturer
    SHIMADZU MEDICAL SYSTEMS
    Product Code
    KXJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    RADIOLOGIC TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    DURING EXAMINTION, PT GRABBED END OF TABLE TOP. AS THE MACHINE WAS BEING PLACED IN A MORE ERECT POSITION, TABLE TOP FORWARD MOVEMENT CAUGHT PT'S FINGERS RESULTING IN LACERATION RIGHT 3RD PIP DORSAL, SUTURED AND FRACTURED RIGHT 3RD TUFT DISTAL PHALANX, FINGERGUARD PLACED. HOSP WAS SENT CO'S SERVICE BULLETIN CONCERNING THE NEW HAND GRIP MODIFICATION. SERVICE TECHNICIAN PLACED ORDER FOR HAND GRIP MODIFICATION. RPTR RECOMMENDS THAT MFR SEND THESE TYPES OF ALERTS VIA REGISTERED MAIL TO CUSTOMERS AND THAT MFR EVALUATES POSSIBILITY OF ADDING MYLAR COVERING RIGHT UNDER TABLE-TOP TO SEAL OFF THAT GAP IN THE MACHINE. (*)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 X-RAY TABLE X-RAY TABLE KXJ SHIMADZU MEDICAL SYSTEMS RS-110

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other