BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LINEAR III

    MDR report key: 384285 · Received March 19, 2002

    Report

    Report Number
    1423380-2002-00001
    Event Type
    Malfunction
    Date Received
    March 19, 2002
    Date of Event
    December 4, 2001
    Report Date
    March 18, 2002
    Manufacturer
    PROGENY, INC.
    Product Code
    IZW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A TECHNICIAN WAS MANIPULATING THE X-RAY TUBE AND COLLIMATOR WHEN THE COLLIMATOR FELL FROM ITS MOUNTING. THE TECHNICIAN GRABBED THE COLLIMATOR, STRAINING THEIR SHOULDER. THE PATIENT WAS UNHURT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINEAR III COLLIMATOR IZW PROGENY, INC. 93741 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other