MULTIX TOP 475517 NA

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report Number2240869-2013-08895
MDR Report Key3429600
Report Source07
Date Received2013-10-21
Date of Report2013-10-01
Date of Event2013-09-05
Date Mfgr Received2013-10-01
Date Added to Maude2013-11-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactANASTASIA MASON
Manufacturer Street51 VALLEY STREAM PARKWAY MS D02
Manufacturer CityMALVERN PA 19355
Manufacturer CountryUS
Manufacturer Postal19355
Manufacturer Phone6102194834
Manufacturer G1SIEMENS AG
Manufacturer StreetSIEMENSSTRASSE 1
Manufacturer CityFORCHHEIM 91301
Manufacturer CountryGM
Manufacturer Postal Code91301
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMULTIX TOP
Generic NameIRADIOLOGIC TABLE
Product CodeIZZ
Date Received2013-10-21
Model Number475517
Catalog NumberNA
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS MEDICAL SOLUTIONS USA, INC.
Manufacturer Address51 VALLEY STREAM PKWY. MALVERN PA 19355 US 19355


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2013-10-21

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