BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CANON CT SCANNER TABLE

    MDR report key: 19872217 · Received July 31, 2024

    Report

    Report Number
    19872217
    Event Type
    Malfunction
    Date Received
    July 31, 2024
    Date of Event
    April 9, 2024
    Report Date
    May 22, 2024
    Manufacturer
    CANON MEDICAL SYSTEMS CORPORATION
    Product Code
    KPS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    EXAM WAS COMPLETE, EXAM TABLE IN OUTER MOST POSITION AND ROSE UP BECOMING STUCK AT HIGHEST POINT. HEALTHCARE PROVIDER WAS ABLE TO REMOVE THE PATIENT SAFELY, SHUT DOWN UNIT AND CONTACT BIOMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    984308 CANON CT SCANNER TABLE EMISSION COMPUTED TOMOGRAPHY SYSTEM KPS CANON MEDICAL SYSTEMS CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Unknown