FDA Adverse Event
Injury
Summary report: N
SYMBIA T6
MDR report key: 15414149
·
Received September 13, 2022
Report
- Report Number
- 1423253-2022-00002
- Event Type
- Injury
- Date Received
- September 13, 2022
- Date of Event
- August 4, 2022
- Report Date
- August 30, 2022
- Manufacturer
- SIEMENS MEDICAL SOLUTIONS USA, INC.
- Product Code
- KPS
- PMA / PMN Number
- K162337
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SIEMENS MEDICAL SOLUTIONS USA, INC. WAS NOTIFIED ON AUGUST 31, 2022, OF A PATIENT INJURY THAT OCCURRED ON (B)(6), 2022, AT THE END OF AN ACQUISITION. MOTION WAS INITIATED BY THE OPERATOR TO REMOVE THE PATIENT. THE OPERATOR FAILED TO FOLLOW THE INSTRUCTIONS TO KEEP BODY PARTS AWAY FROM THE CONTACT AND PINCH POINTS WITHIN THE PATIENT BED PALLET. AS A RESULT, THE PATIENT'S FINGERS WERE CAUGHT IN A PATIENT BED PALLET PINCH POINT. THE PATIENT SUSTAINED AN INJURY TO THE FOURTH AND FIFTH FINGERS OF THE LEFT HAND THAT REQUIRED SURGICAL INTERVENTION. THERE ARE NO PRODUCT DEFECTS OR FAILURES. THERE ARE NO LABELING DEFECTS. THERE WERE NO OTHER INJURIES TO ANY OTHER PERSONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1969898 | SYMBIA T6 | GAMMA CAMERA | KPS | SIEMENS MEDICAL SOLUTIONS USA, INC. | 10275009 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Female | Required Intervention |