MICROM
Received Apr 1, 2011 · Event occurred Feb 11, 2011
Report 3002985827-2011-00001 · MDR key 2058926
Device
Product problems
- Improper or Incorrect Procedure or Method
- Protective Measures Problem
Patient
Not reported
- Laceration(s)
Narrative
Description of Event or Problem
ON (B)(6) 2011, A TECHNICIAN WAS ROUTINELY CUTTING BLOCKS. THE TECH PRESSED THE STOP BUTTON ON THE CONSOLE AND THE CHUCK CAME TO THE TOP AND PAUSED. AS IT PAUSED, THE TECH GRASPED THE BLOCK TO REMOVE IT FROM THE CHUCK AND THE CHUCK THEN ALLEGEDLY BEGAN TO MOVE. THIS RESULTED IN INJURY TO THE TECH IN THE FORM OF A LACERATION TO THE INDEX FINGER AND THUMB. THE TECH WAS TREATED AND INTERVENTION WAS REQUIRED TO PREVENT PERMANENT DAMAGE. COMPANY WAS NOTIFIED ON (B)(6) 2011. TWO SAFETY FEATURES EXIST TO PREVENT THIS TYPE OF INJURY AS DETAILED IN THE INSTRUCTIONS FOR USE. THESE FEATURES INCLUDE A MANUAL BRAKE WHICH PREVENTS THE WHEEL AND CHUCK FROM MOVING AND A PHYSICAL GUARD THAT IS PLACED OVER THE KNIFE DURING BLOCK CHANGES. NEITHER SAFETY FEATURE WAS EMPLOYED BY THE USER IN THIS CASE.