DIAGNOST 76 PLUS
Received Oct 9, 1998 · Event occurred Sep 10, 1998
Report 1217116-1998-00025 · MDR key 191467
Device
Generic name
General Purpose R/f System
Manufacturer
Philips Systems MedezinModel number
9848-500-16202Catalog number
NA
Lot number
NA
Product problems
Patient
65 YR
- Bone Fracture(s)
- Laceration(s)
- Surgical procedure
Narrative
Description of Event or Problem
REPORTEDLY, THE PT WAS POSITIONED PRONE ON TABLE WITH HIS HEAD AT THE FOOT END OF TABLE FOR ERCP EXAM. THE PT'S HANDS WERE POSITIONED ABOVE HIS HEAD AND FLAT ON TABLE TOP WITH PALMS DOWN. ALLEGEDLY, THE TABLE TOP MOVED LONGITUDINALLY OUT OF POSITION BY ITSELF TOWARD THE HEAD END OF THE TABLE RESULTING IN THE NEED TO REPOSITION THE TABLE TOP BY THE TECHNOLOGIST. DURING REPOSITIONING, THE TECHNOLOGIST DID NOT NOTICE THAT THE PT HAD MOVED HIS HANDS TOWARD THE FOOT END OF THE TABLE AND REPORTEDLY THE PT'S FINGERS CAUGHT BETWEEN THE BOTTOM OF THE TABLE TOP AND THE BARIUM SHIELD COVER RESULTING IN A LACERATION AND FRACTURE OF THE 4TH FINGER ON HIS LEFT HAND. THE PT WAS TAKEN TO SURGERY FOR DISPLACED FRACTURER OF LEFT 4TH FINGER.