BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EXT-600

    MDR report key: 277736 · Received May 12, 2000

    Report

    Report Number
    1418957-2000-00005
    Event Type
    Injury
    Date Received
    May 12, 2000
    Date of Event
    April 12, 2000
    Report Date
    May 12, 2000
    Manufacturer
    FISCHER IMAGING
    Product Code
    KXJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A RAD TABLE COLLAPSED ON ONE END CAUSING A PT TO SLIDE TO THE END OF THE TABELTOP AND BUMP HIS HEAD ON AN ADJACENT CABINET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXT-600 ELEVATING HORIZONTAL RADIOGRAPHIC EXAMINATION TABLE KXJ FISCHER IMAGING EXT-600 *

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Required Intervention