BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GCX

    MDR report key: 449865 · Received March 20, 2003

    Report

    Report Number
    MW4003477
    Event Type
    Malfunction
    Date Received
    March 20, 2003
    Date of Event
    February 17, 2003
    Report Date
    March 12, 2003
    Manufacturer
    GCX CORP
    Product Code
    DRT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS THAT THE MONITOR EQUIPMENT WAS PUSHED OUT OF THE MOUNT EXTENSION WHEN IT WAS BUMPED BY THE NURSE OR THE BED. EQUIPMENT FELL ON NURSE AND CAUSED A BRUISE. THE PT WAS UNHARMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GCX MEDICAL DEVICE MOUNT EXTENSION DRT GCX CORP NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN