BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MX 8000 PHANTOM

    MDR report key: 476391 · Received August 6, 2003

    Report

    Report Number
    1525965-2003-00008
    Event Type
    Injury
    Date Received
    August 6, 2003
    Date of Event
    July 7, 2003
    Report Date
    July 9, 2003
    Manufacturer
    PHILIPS MEDICAL SYSTEMS TECH/ADVANCED TECHNOLOGY CENTER
    Product Code
    IXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HOSP TECHNICIAN LIFTED QA PHANTOM FOR MX8000 CT SCANNER WITH THE LEFT ARM. HOSP TECH USED THE APPROPRIATE HANDLE FOR LIFTING. HOSP TECH HAS A PROBABLE TORN PECTORAL MUSCLE AND SEVERELY SPRAINED BICEP WITH TOTAL LOSS OF MOTION OF LEFT ARM AND PROBABLY NEEDS SURGERY TO CORRECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MX 8000 PHANTOM RADIOGRAPHIC ANTHROPOMORPHIC PHANTOM IXG PHILIPS MEDICAL SYSTEMS TECH/ADVANCED TECHNOLOGY CENTER 47971801106 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention