BEUDAMED
    FDA Adverse Event Injury Summary report: N

    G.E. MED SYSTEMS

    MDR report key: 231263 · Received June 30, 1999

    Report

    Report Number
    MW1016706
    Event Type
    Injury
    Date Received
    June 30, 1999
    Date of Event
    June 21, 1999
    Report Date
    June 29, 1999
    Manufacturer
    GENERAL ELECTRIC MEDICAL SYSTEMS
    Product Code
    JAK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    51 YEAR OLD FEMALE PLACED ON CT TABLE FOR SCAN. AS TABLE WAS FEEDING INTO MACHINE, TABLE BEGAN TO TILT. PT IN DANGER OF FALLING TO FLOOR ON HER HEAD. ATTENDANT GRABBED TABLE AND PREVENTED PT FROM FALLING TO FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 G.E. MED SYSTEMS LXI CI SCANNER PATIENT TABLE JAK GENERAL ELECTRIC MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Required Intervention