BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MOBILETT PLUS HP

    MDR report key: 511104 · Received February 9, 2004

    Report

    Report Number
    2240869-2004-00002
    Event Type
    Injury
    Date Received
    February 9, 2004
    Date of Event
    December 26, 2003
    Report Date
    January 6, 2004
    Manufacturer
    SIEMENS MEDICAL SOLUTIONS USA, INC.
    Product Code
    IZL
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE OPERATOR WAS MOVING THE UNIT BACKWARDS AND STEPPED OUT FROM BEHIND THE UNIT WITHOUT FIRST APPLYING THE HAND BRAKE. THE UNIT CONTINUED TO DRIFT BACKWARD AND THE WHEELS OF THE UNIT RAN OVER THE OPERATOR'S LEFT FOOT. THE OPERATOR BROKE TWO TOES IN THEIR LEFT FOOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOBILETT PLUS HP SYSTEM, X-RAY, MOBILE IZL SIEMENS MEDICAL SOLUTIONS USA, INC. 6337625 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other