FDA Adverse Event
Malfunction
Summary report: N
CANON INC.
MDR report key: 25166893
·
Received May 14, 2026
Report
- Report Number
- 2020563-2026-00005
- Event Type
- Malfunction
- Date Received
- May 14, 2026
- Date of Event
- April 14, 2026
- Report Date
- May 13, 2026
- Manufacturer
- CANON INC.
- Product Code
- OWB
- UDI-DI
- 04987670100222
- PMA / PMN Number
- K253584
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE COMPLAINANT STATED THAT THE MATTRESS USED ON THE PATIENT TABLE IS TOO SHORT ON EACH SIDE WHICH MAY HAVE CONTRIBUTED TO THE INCIDENT. FURTHERMORE, THE MATTRESS USED AT THIS FACILITY WAS NOT MANUFACTURED BY OUR COMPANY.
Description of Event or Problem · 0
ON (B)(6) 2026 DURING THE TRANSFER FROM THE HOSPITAL BED / GURNEY TO THE PROCEDURE TABLE A PATIENT BECAME UNSTABLE WHILE BEING MOVED TO THE PROCEDURE TABLE AND SLIPPED. HOSPITAL STAFF CAUGHT THE PATIENT BEFORE HE HIT THE FLOOR AND THE PATIENT RECEIVED NO INJUIRES AS A RESULT OF THIS INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 4383 | CANON INC. | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | CANON INC. | INFX-8000V/B6 | 04987670100222 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |