BEUDAMED
    FDA Adverse Event Other Summary report: N

    M214 PB TABLE

    MDR report key: 221319 · Received April 30, 1999

    Report

    Report Number
    1218868-1999-00002
    Event Type
    Other
    Date Received
    April 30, 1999
    Date of Event
    February 8, 1999
    Report Date
    April 22, 1999
    Manufacturer
    TREX MEDICAL CORP. / XRE DIVISION
    Product Code
    KXJ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    OPERATOR WAS PERFORMING CPR ON PT. DURING THIS TIME THE TABLE LOCKS DID NOT HOLD; THIS MADE THEIR EFFORTS DIFFICULT. THE PT DIED OR WAS NEVER RESUSCITATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M214 PB TABLE TABLE RADIOGRAPHIC NT, POWERED KXJ TREX MEDICAL CORP. / XRE DIVISION 214 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other