FDA Adverse Event
Malfunction
Summary report: N
ALCYON I
MDR report key: 44673
·
Received September 30, 1996
Report
- Report Number
- 2126677-1996-00008
- Event Type
- Malfunction
- Date Received
- September 30, 1996
- Date of Event
- August 23, 1996
- Report Date
- September 30, 1996
- Manufacturer
- GE MEDICAL SYSTEMS EUROPE
- Product Code
- IWB
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE GANTRY ROTATED UNEXPECTEDLY AND STRUCK THE UNDERSIDE OF THE PT TABLE. A PT WAS ON THE TABLE BUT WAS NOT INJURED. INVESTIGATION INDICATED THAT GANTRY ROTATION WAS DUE TO A SHORT BETWEEN TWO WIRES IN THE GANTRY HAND-HELD CONTROL BOX (CONTROL).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ALCYON I | RADIO-THERAPY | IWB | GE MEDICAL SYSTEMS EUROPE | 2118660 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | |||
| 2 |