inforMED
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

Model number

9804-602-82403

Catalog 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