DEL EV200 TABLE 8680R *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-06-29 for DEL EV200 TABLE 8680R * manufactured by Del Medical Group.

Event Text Entries

[325482] X-ray table top downward movement, on it's own, trapping pt's knee and lower extremity under table top.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: MW1028854
• MDR Report Key: 469511
• Date Received: 2003-06-29
• Date of Report: 2003-06-27
• Date of Event: 2003-06-26
• Date Added to Maude: 2003-07-07
• Event Key: 0
• Report Source Code: Voluntary report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 0
• Health Professional: 3
• Initial Report to FDA: 0
• Report to FDA: 0
• Event Location: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: DEL EV200 TABLE
• Generic Name: *
• Product Code: IXQ
• Date Received: 2003-06-29
• Model Number: 8680R
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Operator: HEALTH PROFESSIONAL
• Device Availability: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 458376
• Manufacturer: DEL MEDICAL GROUP
• Manufacturer Address: * * *

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Required No Informationntervention	2003-06-29