FDA Adverse Event Injury Summary report: N

ORTHOSCAN MINI C-ARM X-RAY SYSTEM FD-OR

MDR report key: 10271325 · Received July 14, 2020

Report

Report Number
3005254598-2020-00001
Event Type
Injury
Date Received
July 14, 2020
Date of Event
April 15, 2020
Report Date
June 15, 2020
Manufacturer
ORTHOSCAN, INC.
Product Code
OXO
PMA / PMN Number
K051754
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED A NURSE WAS INJURED WHEN MANIPULATING AN ORTHOSCAN MINI C-ARM. ONE FINGER WAS FRACTURED WHEN THE C-ARM JOINT WAS FOLDING. THE EXACT DATE OF INCIDENT WAS NOT REPORTED, HOWEVER THE REPORTER STATED THE INJURY OCCURED TWO MONTHS PRIOR TO REPORTING TO THE MANUFACTURE. IN THE REVIEW OF PHOTOS RECEIVED FROM THE REPORTER, IT WAS DETERMINED THE FLEX ARM JOINTS WERE MISSING. FURTHER, THE CUSTOMER HAD TAPED HANDWRITTEN SIGNS ON THE UNIT TO WARN USERS OF THE HAZARD. THE MANUFACTURE HAS NO DOCUMENTATION OF ANY CUSTOMER COMPLAINTS REGARDING THE FLEX ARM JOINT COVERS NOR ANY PREVENTATIVE MAINTENANCE DOCUMENTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
737121 ORTHOSCAN MINI C-ARM X-RAY SYSTEM FD-OR MINI C-ARM X-RAY SYSTEM FD-OR OXO ORTHOSCAN, INC. 1000-0004

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention