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 |