BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TELESCOPE CARRIAGE CS

    MDR report key: 285266 · Received June 29, 2000

    Report

    Report Number
    1217116-2000-00010
    Event Type
    Malfunction
    Date Received
    June 29, 2000
    Date of Event
    June 5, 2000
    Report Date
    June 5, 2000
    Manufacturer
    PHILIPS SYSTEME MEDEZIN
    Product Code
    IYB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, WHILE THE TECHNOLOGIST WAS MOVING THE OVERHEAD TUBE CRANE, THE COVER DETACHED FROM THE CRANE AND FELL STRIKING THE TECHNOLOGIST. REPORTEDLY, THE TECHNOLOGIST HAD A MINOR BRUISE ON THEIR FOREHEAD, A MINOR CUT ON THEIR FINGER AND A JAMMED(SPRAINED) FINGER. NONE OF THE INJUIRES ARE CONSIDERED SERIOUS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TELESCOPE CARRIAGE CS DIAGNOSTIC X-RAY TUBE MOUNT IYB PHILIPS SYSTEME MEDEZIN 9848-500-23102 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other