BEUDAMED
    FDA Adverse Event Other Summary report: N

    APIX PREMIUM MOBILE IMAGING TABLE

    MDR report key: 367929 · Received December 19, 2001

    Report

    Report Number
    1720753-2001-00011
    Event Type
    Other
    Date Received
    December 19, 2001
    Date of Event
    November 27, 2001
    Report Date
    December 18, 2001
    Manufacturer
    GE OEC MEDICAL SYSTEMS, INC.
    Product Code
    IXR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AS THE TABLE WAS LOWERED IT CAME INTO CONTACT WITH THE SLIP RING OF AN IV POLE. THIS CAUSED THE TABLE TO LIFT OFF THE GROUND AND TILT TOWARDS THE OPERATOR. THE OPERATOR USED THE LEVEL COMMAND TO LEVEL THE TABLETOP. AFTER THE IV POLE WAS REMOVED AND THE TABLE WAS SET BACK ONTO THE FLOOR, THE TABLETOP SHIFTED TO THE LEFT AND THE PATIENT DROPPED TO THE FLOOR. THIS OCCURRED AT THE CONCLUSION OF THE PROCEDURE WHILE THE PT WAS BEING TAKEN FROM THE TABLE. NO REPORT OF PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    57523 APIX PREMIUM MOBILE IMAGING TABLE FLOATING IMAGING TABLE IXR GE OEC MEDICAL SYSTEMS, INC. APIX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention