FDA Adverse Event Injury Summary report: N

GAMMA CAMERA

MDR report key: 3775725 · Received April 22, 2014

Report

Report Number
MW5035783
Event Type
Injury
Date Received
April 22, 2014
Date of Event
April 14, 2014
Report Date
April 21, 2014
Manufacturer
GE HEALTHCARE
Product Code
IYX
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2014, A PT WAS LIFTED OFF OF THE GE INFINIA HAWKEYE TABLE ONTO A GURNEY AND WHEELED OUT OF THE ROOM. THE TECH PUSHED THE "UNLOAD" BUTTON TO SET THE TABLE UP FOR THE NEXT PT AND WALKED OUT OF THE ROOM. WHEN THE TABLE WAS FULLY LOWERED, IT TIPPED OVER AND FELL OVER ITS SIDE. A STAFF MEMBER SAID THAT HE SAW THE TABLE FALL OVER SLOWLY AND THERE WAS NO OBJECTS AROUND THE TABLE. THERE WAS NO PT OR STAFF INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
244345 GAMMA CAMERA GAMMA CAMERA IYX GE HEALTHCARE INFINIA HAWKEYE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention