BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEL EV200 TABLE

    MDR report key: 469511 · Received June 29, 2003

    Report

    Report Number
    MW1028854
    Event Type
    Injury
    Date Received
    June 29, 2003
    Date of Event
    June 26, 2003
    Report Date
    June 27, 2003
    Manufacturer
    DEL MEDICAL GROUP
    Product Code
    IXQ
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    X-RAY TABLE TOP DOWNWARD MOVEMENT, ON IT'S OWN, TRAPPING PT'S KNEE AND LOWER EXTREMITY UNDER TABLE TOP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEL EV200 TABLE * IXQ DEL MEDICAL GROUP 8680R *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention