BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARRITECHNO/PHILIPS XRAY SYSTEM

    MDR report key: 150220 · Received February 18, 1998

    Report

    Report Number
    150220
    Event Type
    Injury
    Date Received
    February 18, 1998
    Date of Event
    February 14, 1998
    Report Date
    February 17, 1998
    Manufacturer
    PHILLIPS MEDICAL SYSTEMS
    Product Code
    IXX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CINE FILM CANISTER CONNECTED TO CINC MACHINE IN CARDIAC CATHETERIZATION LAB. PT WAS ON TABLE WHEN TECHNICIAN WENT TO ADVANCE FILM, CANISTER FELL OFF MACHINE AND HIT THE PT ON HIS HEAD. TECHNICIAN HEARD FILM MAGAZINE CLICK INTO PLACE AND LOCKED INTO IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARRITECHNO/PHILIPS XRAY SYSTEM CINE FILM MAGAZINE (ARRITECHNO) IXX PHILLIPS MEDICAL SYSTEMS * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Hospitalization