BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MOBILEDIAGNOST WDR

    MDR report key: 3522419 · Received December 4, 2013

    Report

    Report Number
    1217116-2013-00002
    Event Type
    Injury
    Date Received
    December 4, 2013
    Date of Event
    November 5, 2013
    Report Date
    November 11, 2013
    Manufacturer
    SEDECAL SA
    Product Code
    IZL
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NL
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    PHILIPS REC'D A REPORT FROM A CUSTOMER THAT AN OPERATOR BROKE HER NOSE WHILE HANDLING THE MOBILE. SHE WANTED TO ROTATE THE TUBE AFTER AN EXAMINATION OF A PT INTO THE PARKING POSITION. SHE TURNED THE TUBE IN THE WRONG DIRECTION. THE SUDDEN STOP OF TUBE ROTATION CONTRIBUTED TO THE BROKEN NOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    628756 MOBILEDIAGNOST WDR NONE IZL SEDECAL SA 712001

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention