BEUDAMED
    FDA Adverse Event Summary report: N

    EASY DIAGNOST ELEVA DRF

    MDR report key: 4100706 · Received September 16, 2014

    Report

    Report Number
    4100706
    Date Received
    September 16, 2014
    Date of Event
    June 26, 2014
    Report Date
    September 16, 2014
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    IZZ
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PATIENT WAS PRONE ON THE FLUORO TABLE, CROSSED ARMS UP (TUCKED UNDER PILLOW) WITH THE PATIENT'S HEAD RESTING ON THE PILLOW. THE FLUORO TABLE WAS MOVED BACK TO THE ORIGINAL POSITION. THE PATIENT CRIED OUT IN PAIN. THE PATIENT'S SKIN ON FOREARM WAS PINCHED BETWEEN THE TABLE AND THE MOVABLE TABLE TOP. THE PATIENT EXPERIENCED AN ABRASION AND BRUISING OF THE LEFT FOREARM. THE AREA WAS EXAMINED, CLEANED AND BANDAGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    572099 EASY DIAGNOST ELEVA DRF TABLE, RADIOGRAPHIC, TILTING IZZ PHILIPS MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR NO OTHER THERAPIES