BEUDAMED
    FDA Adverse Event Other Summary report: N

    HEUSTIS FILM HOLDER

    MDR report key: 375950 · Received February 6, 2002

    Report

    Report Number
    375950
    Event Type
    Other
    Date Received
    February 6, 2002
    Date of Event
    February 1, 2002
    Report Date
    February 5, 2002
    Manufacturer
    RADIATION PRODUCTS DESIGN INC.
    Product Code
    EGZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RADIATION THERAPIST WAS PLACING FILM HOLDER OVER PATIENT WHEN FILM FELL ONTO PATIENT AND HIT THEIR CHEST AND LEFT EYE/CHEEK. CONTUSTION TO LEFT EYE/CHEEK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEUSTIS FILM HOLDER FILM CASSETTE HOLDING STAND EGZ RADIATION PRODUCTS DESIGN INC. 130 *

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Other