BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DIAGNOST 56/66/76

    MDR report key: 2043225 · Received February 24, 2011

    Report

    Report Number
    3003768251-2011-00020
    Event Type
    Malfunction
    Date Received
    February 24, 2011
    Report Date
    January 27, 2011
    Manufacturer
    PHILIPS MEDICAL SYSTEMS DMC GMBH
    Product Code
    IXR
    PMA / PMN Number
    K924593
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE INVESTIGATION IS CURRENTLY ONGOING AND CONCLUSIONS WILL BE SENT IN A FOLLOW UP REPORT BEFORE (B)(4) 2011.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED, THAT THE TABLE STARTED TILTING, WHEN HE POSITIONED THE TABLE TOP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DIAGNOST 56/66/76 IXR PHILIPS MEDICAL SYSTEMS DMC GMBH 70640

    Patients

    Seq Age Sex Outcome Treatment
    1