BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RITTER

    MDR report key: 2588856 · Received May 18, 2012

    Report

    Report Number
    1523530-2012-00019
    Event Type
    Malfunction
    Date Received
    May 18, 2012
    Date of Event
    April 19, 2012
    Report Date
    May 18, 2012
    Manufacturer
    MIDMARK CORP.
    Product Code
    LGX
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE PRODUCT IS BEING RETURN FOR FURTHER EVALUATION.

    Description of Event or Problem · 1

    FACILITY CLAIMS THE TABLE LOWERED ON ITS OWN BY APPROXIMATELY 4 INCHES. PT WAS ON TABLE. NO INJURIES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RITTER EXAMINATION TABLE LGX MIDMARK CORP. 222-016

    Patients

    Seq Age Sex Outcome Treatment
    1