BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHILIPS MEDICAL SYSTEM

    MDR report key: 746944 · Received October 27, 2005

    Report

    Report Number
    MW1037044
    Event Type
    Other
    Date Received
    October 27, 2005
    Date of Event
    August 18, 2005
    Report Date
    October 27, 2005
    Manufacturer
    PHILIPS MEDICAL SYSTEMS NORTH AMERICA
    Product Code
    KXJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO RADIOLOGY REPORT, PATIENT WAS ON THE RADIOLOGY TABLE, ABDOMINAL SERIES OF X-RAYS HAD JUST BEEN COMPLETED. THE RADIOLOGY TABLE RANDOMLY STARTED TO TILT TOWARDS THE PATIENT HEAD. A RADIOLOGY TECH HAD TO HOLD THE SHOULDERS OF THE PATIENT FOR SUPPORT. THE TABLE THEN STOPPED THE RANDOM ACTIONS. NO INJURY TO PATIENT, THE RADIOLOGY TABLE WAS TAKEN OUT OF SERVICE UNTIL THE MACHINE COULD BE SERVICED. THE PHILLIPS REPRESENTATIVE `REPLACED A TSO FLATPANEL AT TABLE SIDE.'

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS MEDICAL SYSTEM OMNI DIAGNOSTIC TABLE KXJ PHILIPS MEDICAL SYSTEMS NORTH AMERICA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other