FDA Adverse Event
Injury
Summary report: N
LORAD MIV
MDR report key: 240654
·
Received September 14, 1999
Report
- Report Number
- 240654
- Event Type
- Injury
- Date Received
- September 14, 1999
- Date of Event
- September 7, 1999
- Report Date
- September 10, 1999
- Manufacturer
- TREX MEDICAL CORP.
- Product Code
- IZH
- Report Source
- User Facility report
- Reporter Location
- UT, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
IN RADIOLOGY FOR BREAST LOCALIZATION PRIOR TO SURGERY. INITIAL FILMS TAKEN, PROCEEDED TO MOVE PT ON THE CHAIR OUT OF THE WAY OF THE MACHINE (MAMMOGRAPHY UNIT). MOVED CHAIR WHEEL CAUGHT ON THE FOOT PEDAL THAT MOVES TUBE HEAD UP AND DOWN CAUSING MACHINE TO LOWER ONTO PTS' THIGH. EMERGENCY SHUT DOWN SWITCH ACTIVATED WITH NO RELEASE OF PRESSURE TO LEG (THIGH). TURNED MACHINE ON AND WAS ABLE TO RELEASE THE PT FROM UNDER THE UNIT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LORAD MIV | MAMMOGRAPHY UNIT | IZH | TREX MEDICAL CORP. | 40000029 | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Hospitalization |