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 |