OtherIXL
SCOP SPOT FILM DEVICE
Received Jul 1, 1997 · Event occurred Mar 5, 1997
Report 105068 · MDR key 105068
Device
Product problems
- Unintended System Motion
Patient
34 YR
- Pain
Narrative
Description of Event or Problem
DURING AN UPPER GI FILM, AS THE RADIOLOGY TABLE WAS BEING LOWERED FROM AN ERECT TO FLAT POSITION, THE CARRIAGE STARTED TO SLOWLY SLIP DOWNWARD UNTIL IT WAS RESTING ON THE PT'S CHEST. RADIOLOGIST AND TECHNICIAN TRIED FORCING THE CARRIAGE UP ENOUGH FOR THE PT TO MOVE OUT FROM UNDERNEATH. THEY WERE NOT ABLE TO MOVE THE CARRIAGE BUT THE PT WAS ABLE TO SLIDE OUT DUE TO HIS SMALL SIZE.