FDA Adverse Event
Malfunction
Summary report: N
OPUS
MDR report key: 373393
·
Received January 18, 2002
Report
- Report Number
- 9611388-2001-00007
- Event Type
- Malfunction
- Date Received
- January 18, 2002
- Date of Event
- November 13, 2001
- Report Date
- January 8, 2002
- Manufacturer
- DORNIER MEDIZINTECHNIK GMBHH
- Product Code
- KQS
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
AFTER ACTIVATION OF Z-AXIS BY FOOTSWITCH, K-AXIS MOVED AUTONOMOUSLY INSPITE OF ACTIVATION OF MOVEMENT STOP. NO PATIENT WAS INVOLVED. DESTRUCTION OF CLINICAL EQUIPMENT OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OPUS | X-RAY TABLE | KQS | DORNIER MEDIZINTECHNIK GMBHH | OPUS | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |