FDA Adverse Event Summary report: N

GEMINI GXL 16 POWER

MDR report key: 1647257 · Received March 16, 2010

Report

Report Number
1647257
Date Received
March 16, 2010
Date of Event
February 26, 2010
Report Date
March 12, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS NORTH AMERICA, INC.
Product Code
KPS
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT UNDERWENT A SCHEDULED OUTPATIENT BRAIN CT SCAN. THE TECHNICIAN PROGRAMMED THE MACHINE AT 800 MA INSTEAD OF 80 MA. THE DEPARTMENT OF HEALTH SERVICES RADIATION DEPARTMENT DID NOT REQUIRE A REPORT TO BE FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GEMINI GXL 16 POWER PET CT SCANNER KPS PHILIPS MEDICAL SYSTEMS NORTH AMERICA, INC. GEMINI GXL 16 POWER *

Patients

Seq Age Sex Outcome Treatment
1 4 YR