BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DQA PHANTOM

    MDR report key: 576362 · Received February 24, 2005

    Report

    Report Number
    2183553-2005-00001
    Event Type
    Injury
    Date Received
    February 24, 2005
    Date of Event
    December 17, 2004
    Report Date
    February 24, 2005
    Manufacturer
    GE HEALTHCARE TECHNOLOGIES
    Product Code
    LNH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AN MRI TECHNOLOGIST SLIPPED ON THE FLUID WHEN RUNNING DOWN THE HALL TO THROW OUT THE PHANTOM. THE TECHNICIAN HAD BEEN RETURNING THE PHANTOM TO A SHELF DURING WHICH THE PHANTOM HIT THE SHELF AND STARTED LEAKING. THE FALL RESULTED IN A COMPRESSED VERTEBRAE OR DISC IN THEIR BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DQA PHANTOM MAGNETIC RESONANCE LNH GE HEALTHCARE TECHNOLOGIES 46-328501G1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Required Intervention