FDA Adverse Event Injury Summary report: N

DRX REVOLUTION MOBILE X-RAY SYS

MDR report key: 3929305 · Received June 25, 2014

Report

Report Number
1317307-2014-00006
Event Type
Injury
Date Received
June 25, 2014
Date of Event
June 5, 2014
Report Date
June 24, 2014
Manufacturer
CARESTREAM HEALTH, INC.
Product Code
IZL
PMA / PMN Number
K120062
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ROOT CAUSE OF THE INCIDENT IS USER ERROR. WHILE TECH 1 WAS RETRIEVING THE PLUG END, TECH 2 TURNED THE COLUMN AND TECH 1'S FINGER WAS INJURED.

Description of Event or Problem · 1

TECHNOLOGIST (TECH) #1 WAS ATTEMPTING TO PICK UP THE REVOLUTION'S POWER CORD THAT FELL INTO THE COLUMN OPENING AND AT THE SAME TIME ANOTHER TECH (TECH #2) TURNED THE COLUMN. AS A RESULT, TECH #1 WAS INJURED (FRACTURED THE TIP OF A FINGER AND TORE PART OF HER FINGER NAIL).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
369598 DRX REVOLUTION MOBILE X-RAY SYS DRX REVOLUTION IZL CARESTREAM HEALTH, INC. DRXR-1

Patients

Seq Age Sex Outcome Treatment
1 NA Other