MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2013-10-21 for MULTIX TOP 475517 NA manufactured by Siemens Medical Solutions Usa, Inc..
[21729886]
It was reported that a male pt was sitting on a stool at the end of the multix top system table with his legs under the table. The technologist did not realize that the pt's legs were under the x-ray table and initiated downward movement of the table. The pt's legs were caught under the table for a few seconds before the operator stopped the downward movement and raised the table. The pt complained of thigh and knee pain. The x-ray images were taken at another facility but no injuries were identified. The pt was released but due to pain he is now receiving physical therapy.
Patient Sequence No: 1, Text Type: D, B5
[21885967]
The operator manual for multix top system (axb1-150. 620. 01. 01. 02) contains warnings regarding collision/crushing zones. This report was submitted october 17, 2013.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 2240869-2013-08895 |
MDR Report Key | 3429600 |
Report Source | 07 |
Date Received | 2013-10-21 |
Date of Report | 2013-10-01 |
Date of Event | 2013-09-05 |
Date Mfgr Received | 2013-10-01 |
Date Added to Maude | 2013-11-25 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | ANASTASIA MASON |
Manufacturer Street | 51 VALLEY STREAM PARKWAY MS D02 |
Manufacturer City | MALVERN PA 19355 |
Manufacturer Country | US |
Manufacturer Postal | 19355 |
Manufacturer Phone | 6102194834 |
Manufacturer G1 | SIEMENS AG |
Manufacturer Street | SIEMENSSTRASSE 1 |
Manufacturer City | FORCHHEIM 91301 |
Manufacturer Country | GM |
Manufacturer Postal Code | 91301 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MULTIX TOP |
Generic Name | IRADIOLOGIC TABLE |
Product Code | IZZ |
Date Received | 2013-10-21 |
Model Number | 475517 |
Catalog Number | NA |
Lot Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | SIEMENS MEDICAL SOLUTIONS USA, INC. |
Manufacturer Address | 51 VALLEY STREAM PKWY. MALVERN PA 19355 US 19355 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2013-10-21 |