BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    G.E. ADVANTX

    MDR report key: 42791 · Received October 10, 1996

    Report

    Report Number
    MW1010045
    Event Type
    Malfunction
    Date Received
    October 10, 1996
    Date of Event
    September 30, 1996
    Report Date
    September 30, 1996
    Manufacturer
    GENERAL ELECTRIC
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    WHILE RAISING THE X-RAY TABLE FROM THE HORIZONTAL TO VERTICAL POSITION, THE TABLE SLIPPED OFF ITS PIVOT JOINT AND DROPPED 4-6 INCHES TO THE FLOOR. IT WAS NOTED THAT A BLANKET WHICH HAD BEEN PLACED UNDER THE PT WAS CAUGHT IN THE TILT MECHANISM. ACCORDING TO THE CO SERVICEMEN, THE BLANKET HAD WRAPPED AROUND THE SPROCKET CAUSING THE CHAIN TO COME OFF THE SPROCKET AND WHEN THAT HAPPENED, THE TABLE SLIPPED DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 G.E. ADVANTX X-RAY TABLE KXJ GENERAL ELECTRIC 46-276420G1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other