MalfunctionKPW
AUTO COLLIMATOR
Received Aug 21, 1997 · Event occurred Jun 24, 1997
Report 1217116-1997-00027 · MDR key 115501
Device
Generic name
Beam Limiting Device
Manufacturer
Philips Medical SystemsModel number
9804-602-82403Catalog number
NI
Lot number
NA
Product problems
- Detachment Of Device Component
- Component Falling
Patient
83 YR
- Head Injury
- Wheal(s)
- Cut(s)
Narrative
Description of Event or Problem
REPORTEDLY, THE PT WAS LAYING ON THE TABLE DURING AN ENEMA PROCEDURE AND AS THE TECHNOLOGIST MOVED THE OVERHEAD X-RAY TUBE ASSEMBLY, A COVER ON THE COLLIMATOR FELL OFF AND ALLEGEDLY STRUCK THE PT ON THE BACK OF THE HEAD. THE PT REPORTEDLY HAD A SMALL LACERATION AND SMALL BUMP ON HER HEAD. SHE WAS EXAMINED AND THE CUT WAS CLEANED AND TREATED WITH PEROXIDE.
Remedial action
- Repair