FDA Adverse Event
Malfunction
Summary report: N
BUCKY DIAGNOST CS 2
MDR report key: 273073
·
Received April 3, 2000
Report
- Report Number
- 1217116-2000-00005
- Event Type
- Malfunction
- Date Received
- April 3, 2000
- Date of Event
- March 2, 2000
- Report Date
- March 2, 2000
- Manufacturer
- PHILIPS SYSTEME MEDEZIN
- Product Code
- IYB
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
REPORTEDLY, AS THE TECHNOLOGIST WAS MOVING THE TUBE CRANE THE FRONT COVER DETACHED FROM THE CRANE AND FELL STRIKING THE TECHNOLOGIST. REPORTEDLY, THE TECHNOLOGIST WAS NOT INJURED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BUCKY DIAGNOST CS 2 | DIAGNOSTIC X-RAY TUBE MOUNT | IYB | PHILIPS SYSTEME MEDEZIN | 9890-010-06521 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |