FDA Adverse Event Malfunction Summary report: N

OAKWORKS MEDICAL CFPM 400 IMAGING TABLE

MDR report key: 6659993 · Received June 22, 2017

Report

Report Number
2529571-2017-00003
Event Type
Malfunction
Date Received
June 22, 2017
Date of Event
August 29, 2014
Report Date
June 5, 2017
Manufacturer
OAKWORKS, INC.,
Product Code
IXR
PMA / PMN Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE FOOT CONTROL BUTTON WAS STUCK AND CAUSED THE TABLE TO MOVE INTO A LATERAL ROLL WHEN THEY WERE TRYING TO LOWER THE TABLE. THE PATIENT WAS ON THE TABLE AT THE TIME AS THE PROCEDURE HAD CONCLUDED AND THEY WERE ATTEMPTING TO GET THE PATIENT OFF THE TABLE WHEN THE UNINTENDED MOVEMENT OCCURRED. THE TOP WENT TO A 45 DEGREE ANGLE BEFORE THE UNINTENDED MOVEMENT STOPPED. IT TOOK THREE PEOPLE TO GET THE PATIENT OFF THE TABLE SAFELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
441891 OAKWORKS MEDICAL CFPM 400 IMAGING TABLE IMAGING TABLE IXR OAKWORKS, INC., CFPM 400

Patients

Seq Age Sex Outcome Treatment
1