FDA Adverse Event
Malfunction
Summary report: N
STEPHANIX
MDR report key: 7577669
·
Received June 7, 2018
Report
- Report Number
- 3006972752-2018-00001
- Event Type
- Malfunction
- Date Received
- June 7, 2018
- Date of Event
- May 29, 2018
- Report Date
- June 4, 2018
- Manufacturer
- STEPHANIX RADIOLOGICAL SOLUTIONS
- Product Code
- JAA
- UDI-DI
- 03664049000017
- PMA / PMN Number
- K102529
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
OUR R&D DEPARTMENT IS WORKING ON THIS ISSUE. WE THINK WE WILL BE ABLE TO PROPOSE A SOLUTION IN THE END OF NEXT MONTH (END OF (B)(6)).
Description of Event or Problem · 1
THE TABLE WAS IN VERTICAL POSITION, THE OPERATOR WANTED TO MOVE THE TABLE WITH JOYSTICK, BUT WHEN HE RELEASED THE COMMAND, THE TABLE KEPT MOVING UNTIL HE USED THE EMERGENCY STOP. THUS WE HAVE UNCOMMANDED TABLE MOVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 422865 | STEPHANIX | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | JAA | STEPHANIX RADIOLOGICAL SOLUTIONS | D2RS | 03664049000017 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |