FDA Adverse Event
Malfunction
Summary report: N
OAKWORKS MEDICAL CFPM 300 IMAGING TABLE
MDR report key: 6660073
·
Received June 22, 2017
Report
- Report Number
- 2529571-2017-00011
- Event Type
- Malfunction
- Date Received
- June 22, 2017
- Date of Event
- May 11, 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
- UT, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE END USER DAMAGED THE FOOT CONTROL. IT HAPPENED AT THE END OF THE DAY WHEN THEY WERE CLOSING UP THE ROOM. A STAFF MEMBER USED THE HAND CONTROL TO LOWER THE TABLE NOT REALIZING THE FOOT CONTROL WAS UNDER THE COLUMN AND CRUSHED THE FOOT CONTROL. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 440510 | OAKWORKS MEDICAL CFPM 300 IMAGING TABLE | IMAGING TABLE | IXR | OAKWORKS, INC., | CFPM 300 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |