FDA Adverse Event Malfunction Summary report: N

OAKWORKS MEDICAL CFPM 400 IMAGING TABLE

MDR report key: 6660058 · Received June 22, 2017

Report

Report Number
2529571-2017-00012
Event Type
Malfunction
Date Received
June 22, 2017
Date of Event
March 1, 2016
Report Date
June 6, 2017
Manufacturer
OAKWORKS, INC.,
Product Code
IXR
PMA / PMN Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE TECHNICIAN KICKED THE FOOT CONTROL UNDER THE TABLE AND THE BUTTON STUCK CAUSING THE TABLE TO TILT. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440382 OAKWORKS MEDICAL CFPM 400 IMAGING TABLE IMAGING TABLE IXR OAKWORKS, INC., CFPM 400

Patients

Seq Age Sex Outcome Treatment
1