FDA Adverse Event Other Summary report: N

LORAD HOLOGIC SELENIA

MDR report key: 841993 · Received April 19, 2007

Report

Report Number
MW1042658
Event Type
Other
Date Received
April 19, 2007
Date of Event
April 19, 2007
Report Date
April 19, 2007
Manufacturer
*
Product Code
IZH
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING COMPRESSION ON MAMMOGRAPHY, PATIENT APPEARS TO HAVE INADVERTENTLY HANDLED CONTROL BUTTONS LOCATED IN THE BACK OF UNIT, CAUSING C-ARM TO RAISE WHILE CONTINUING COMPRESSION. TECHNOLOGIST WAS UNABLE TO RELEASE COMPRESSION WITH FOOT PEDALS. UNIT RELEASED COMPRESSION AFTER A FEW SECONDS. FIELD ENGINEER CAME IN WITHIN THE HOUR, CHECKED ALL SWITCHES AND FOUND THAT IF 12 LBS OR LESS OF FORCE IS USED, THE PT COULD INDEED MOVE THE C-ARM. THE FIELD ENGINEER COULD NOT REPLICATE THE FAILURE OF THE FOOT PEDAL TO RELEASE COMPRESSION. SHE ORDERED REPLACEMENT FOOT PEDALS DESPITE THE PRESENT ONES TESTING OUT OK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LORAD HOLOGIC SELENIA * IZH * SELENIA *

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other