BEUDAMED
    FDA Adverse Event Other Summary report: N

    MED-TEC CARBON FIBER COUCH INSERT

    MDR report key: 240467 · Received September 9, 1999

    Report

    Report Number
    1932738-1999-00001
    Event Type
    Other
    Date Received
    September 9, 1999
    Date of Event
    September 3, 1999
    Report Date
    September 8, 1999
    Manufacturer
    MED-TEC,INC.
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING PT TRANSFER ONTO TREATMENT COUCH, THE MED-TEC CARBON FILTER INSERT TILTED UP AND SLID OFF THE TREATMENT COUCH. THIS CREATED AN OPENING THROUGH WHICH THE PT STARTED FALLING. FOUR THERAPISTS KEPT THE PT FROM FALLING TO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MED-TEC CARBON FIBER COUCH INSERT TABLE, RADIOLOGIC, ACCESSORY KXJ MED-TEC,INC. MT-CLXCL-4562CF *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other