inforMED
OtherIXY

SINGLE HEAD GENESYS

Received Aug 16, 1999 · Event occurred Jan 14, 1999

Report 2916556-1999-00131 · MDR key 236463

Device

Generic name

Nuclear Medicine Equipment

Manufacturer

Adac Laboratories

Model number

2129-3011A

Catalog number

NA

Lot number

NA

Product problems

  • Unintended Collision
  • Use of Device Problem

Patient

*

  • Injury

Narrative

Description of Event or Problem

AS PART OF A BONE SCAN, STATIC VIEWS OF THE PT'S FEET WERE TAKEN. THE TECHNOLOGIST HAD PERFORMED THE STUDY HAD LOWERED THE CAMERA DOWN OVER THE FEET OF THE PT AND HAD UNINTENTIONALLY TOUCHED THE PT'S FEET WITH THE COLLIMATOR. THE EMERGENCY STOP LIT AND INDICATED A COLLISION. NO PT INJURY WAS REPORTED AT THE TIME, BUT THE PT NOW IS COMPLAINING OF PERMANENT INJURY TO HIS FEET, AND IS ATTRIBUTING THIS INJURY TO THE BONE SCANNING PROCEDURE HE UNDERWENT IN JANUARY.

Remedial action

  • Other