FDA Adverse Event Other Summary report: N

THORAVISION

MDR report key: 527184 · Received February 17, 2004

Report

Report Number
1217116-2004-00003
Event Type
Other
Date Received
February 17, 2004
Date of Event
January 20, 2004
Report Date
January 20, 2004
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
KPR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A PT WAS HAVING A CHEST X-RAY PERFORMED BY THE THORAVISION. IT WAS MOVING UPWARD WHEN IT FELL DOWNWARD ABOUT 0.3 METERS. THE PT WAS UNINJURED BUT IF THEY HAD BEEN POSITIONED DIFFERENTLY A STEEL BAR MAY HAVE STRUCK THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THORAVISION STATIONARY DIAGNOSTIC CHEST X-RAY SYSTEM KPR PHILIPS MEDICAL SYSTEMS MTD3003 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other