BEUDAMED
    FDA Adverse Event Summary report: N

    SIEMENS

    MDR report key: 3032677 · Received March 28, 2013

    Report

    Report Number
    MW5029573
    Date Received
    March 28, 2013
    Date of Event
    March 25, 2013
    Report Date
    March 28, 2013
    Manufacturer
    SIEMANS
    Product Code
    LNH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HAD A MRI MRCP. COMPLETED AND THEN REMOVED FROM MRI TUBE AND PLACED ON TROLLEY TO REMOVE PT FROM ROOM. WHEN POSITIONING THE TROLLEY BY THE TRANSPORT STRETCHER, THE BED PORTION OF THE TROLLEY FELL THROUGH THE SUPPORTING ARMS. PT FELL TO THE FLOOR. UPON INSPECTION, RETAINMENT LATCHES WHERE DEPLOYED. COMPANY REPRESENTATIVE TO MRI SUITE TO EVALUATE TROLLEY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    128348 SIEMENS MRI TROLLY LNH SIEMANS 04760216

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR