FDA Adverse Event Other Summary report: N

BRIGHTVIEW GAMMA CAMERA SYSTEM

MDR report key: 2933172 · Received January 24, 2013

Report

Report Number
1525965-2013-00009
Event Type
Other
Date Received
January 24, 2013
Report Date
January 2, 2013
Manufacturer
PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC.
Product Code
KPS
PMA / PMN Number
K062298
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PHILIPS SERVICE ENGINEER EVALUATED THE SYSTEM AFTER THE REPORTED EVENT AND DETERMINED THAT THE SYSTEM DID NOT MALFUNCTION. THERE WAS NO DAMAGE TO THE SYSTEM AND THUS NO REPAIRS WERE MADE AND WAS OPERATING AS DESIGNED. A LOG FILE REVIEW SHOWED NO MALFUNCTIONS. THE BIOMEDICAL ENGINEER USED A CROWBAR TO SEPARATE THE DETECTORS ENOUGH TO FREE THE OPERATOR'S ARM, AS THERE WAS SOME CONFUSION ON THE CUSTOMER'S PART ABOUT PUTTING THE SYSTEM IN OVERRIDE AND MANUALLY MOVING THE DETECTORS APART WHEN IN COLLISION MODE. (B)(4).

Description of Event or Problem · 1

PHILIPS RECEIVED INFO WHERE A CUSTOMER REPORTED THE OPERATOR GOT HER ARM CAUGHT BETWEEN THE DETECTOR HEADS DURING THE SET-UP OF A CARDIAC ACQUISITION. THE COLLISION SENSORS ACTIVATED AND HALTED ALL SYSTEM MOTION, HOWEVER, THE OPERATOR WAS UNABLE TO FREE HER ARM DUE TO THE POSITION OF THE DETECTORS WITHOUT THE HELP FROM THE SITE'S BIOMEDICAL ENGINEER. THE OPERATOR WAS EVALUATED IN THE EMERGENCY DEPARTMENT AND REPORTED LOCALIZED BRUISING, BUT DID NOT SUSTAIN A FRACTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
34896 BRIGHTVIEW GAMMA CAMERA SYSTEM KPS PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. 2170-3000A

Patients

Seq Age Sex Outcome Treatment
1