FDA Adverse Event
Other
Summary report: N
CERETOM (TRANSFER SCAN BOARD)
MDR report key: 1315824
·
Received February 13, 2009
Report
- Report Number
- 3004938766-2009-00001
- Event Type
- Other
- Date Received
- February 13, 2009
- Date of Event
- October 13, 2008
- Report Date
- November 10, 2008
- Manufacturer
- NEUROLOGICA CORPORATION
- Product Code
- JAK
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
IMPROPER POSITIONING OF SCAN TRANSFER BOARD ONTO STRETCHER BED. WARNING LABEL WITH PROPER POSITIONING INSTRUCTIONS ARE BEING ADDED TO THE TRANSFER BOARD.
Description of Event or Problem · 1
A RADIATION TECHNICIAN SUFFERED A LEG BRUISE WHEN A PT WAS POSITIONED ONTO A TRANSFER SCAN BOARD CAUSING THE STRETCHER BED TO TIP. THE BOTTOM OF THE SCAN BOARD CAME IN CONTACT WITH TECHNOLOGIST'S LEG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CERETOM (TRANSFER SCAN BOARD) | TRANSFER SCAN BOARD | JAK | NEUROLOGICA CORPORATION | 1-NL3000 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |