BEUDAMED
    FDA Adverse Event Other Summary report: N

    GE STENOSCOP

    MDR report key: 291977 · Received August 23, 2000

    Report

    Report Number
    291977
    Event Type
    Other
    Date Received
    August 23, 2000
    Date of Event
    July 19, 2000
    Report Date
    August 15, 2000
    Manufacturer
    GE MEDICAL SYSTEMS
    Product Code
    IZL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    X-RAY TECH-MULTI-SPECIALTY FROM THE RADIOLOGY DEPARTMENT WAS CHECKING THE C-ARM CONNECTION IN BACK OF C-ARM MONITOR. WHEN THEY TOUCHED ADJUSTMENT KNOB, A SHOCK WENT INTO RIGHT HAND, THROUGH CHEST AND OUT THE LEFT HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GE STENOSCOP GE C-ARM MACHINE IZL GE MEDICAL SYSTEMS 2229154 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Other