FDA Adverse Event Malfunction Summary report: N

CASUALTY SYSTEMS FOR RADIOGRAPHY

MDR report key: 2493342 · Received March 12, 2012

Report

Report Number
3003768251-2012-00006
Event Type
Malfunction
Date Received
March 12, 2012
Report Date
February 12, 2012
Manufacturer
PHILIPS MEDICAL SYSTEMS DMC GMBH
Product Code
KPR
PMA / PMN Number
K945278
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WHEN INVESTIGATION IS COMPLETED A F/U REPORT WILL BE SENT TO THE FDA. (B)(4).

Description of Event or Problem · 1

COMPLAINT REPORTED ABOUT A (VS) WALL STAND WHERE THE BUCKY UNIT FELL DOWN. NO PERSON WAS INJURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CASUALTY SYSTEMS FOR RADIOGRAPHY KPR PHILIPS MEDICAL SYSTEMS DMC GMBH 720013

Patients

Seq Age Sex Outcome Treatment
1