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 |