MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-04-24 for MRI PATIENT TROLLEY 10018482 manufactured by Siemens.
[21766139]
Patient was transported from mri scan and during transport the patient backboard became disconnected from patient trolley and patient fell to the ground with backboard. No injury to patient noted. User indicated that the table was docked at the time of the incident and appeared stable. Incident appears to be a mechanical error with table trolley.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5042381 |
| MDR Report Key | 4739574 |
| Date Received | 2015-04-24 |
| Date of Report | 2015-04-24 |
| Date of Event | 2015-02-18 |
| Date Added to Maude | 2015-05-01 |
| 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 | 3 |
| Reporter Occupation | ATTORNEY |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MRI PATIENT TROLLEY |
| Generic Name | LIFT |
| Product Code | ILK |
| Date Received | 2015-04-24 |
| Model Number | 10018482 |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SIEMENS |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2015-04-24 |