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 |