FDA Adverse Event Summary report: N

MX 16-SLICE

MDR report key: 3016944 · Received March 15, 2013

Report

Report Number
3004761566-2013-00001
Date Received
March 15, 2013
Date of Event
February 15, 2013
Report Date
February 17, 2013
Manufacturer
PHILIPS AND NEUSOFT MEDICAL SYSTEMS CO., LTD.
Product Code
JAK
PMA / PMN Number
K091195
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EG
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NOTE: WE HAVE NOT COMPLETED OUR INVESTIGATION OF THIS EVENT. WE WILL FILE A FOLLOW-UP MDR AT THE COMPLETION OF THE INVESTIGATION. (B)(4).

Description of Event or Problem · 1

AFTER A CT SCAN WAS PERFORMED ON A PATIENT, THE OPERATOR OF THE MX 16-SLICE SYSTEM PROCEEDED TO MOVE THE TABLE TOP BACKWARDS WHILE OPERATING THE CONTROL FROM THE GANTRY LEFT CONTROL PANEL. THE OPERATOR DID NOT NOTICE THAT A PHYSICIAN'S HAND WAS IN THE GUIDING RAIL GROOVE DURING THE TABLE TOP MOVEMENT. THE PHYSICIAN WAS NOT ABLE TO MOVE HIS HAND OUT OF THE WAY AND HE RECEIVED A FINGER INJURY (CUT IN THE SKIN AND A FRACTURED INDEX FINGER). THE PHYSICIAN RECEIVED FIRST AID TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
110947 MX 16-SLICE JAK PHILIPS AND NEUSOFT MEDICAL SYSTEMS CO., LTD. 728131

Patients

Seq Age Sex Outcome Treatment
1 Other