OtherIXY
DUAL HEAD GENESYS
Received Oct 30, 2000 · Event occurred Oct 16, 2000
Report 2916556-2000-00358 · MDR key 303260
Device
Generic name
Nuclear Medicine Equipment
Manufacturer
Adac LaboratoriesModel number
2144-3000ACatalog number
NA
Lot number
NA
Product problems
- Migration or Expulsion of Device
- Program, failure to
Patient
Not reported
- Device induced
- Injury
Narrative
Description of Event or Problem
IT WAS REPORTED TO ADAC THAT AFTER THE COLLISION SENSOR STOPPED THE GANTRY MOVEMENT, SYSTEM COULD NOT BE PLACED INTO OVERRIDE AND MOVED AWAY DUE TO THE CONDITION OF THE PATIENT. HOSPITAL PERSONNEL CONTACTED ADAC AND WERE INSTRUCTED TO SHUT THE SYSTEM OFF AND MANUALLY ROLL THE GANTRY AWAY. WHILE PUSHING THE GANTRY AWAY, PATIENT'S CENTER LINE WAS INADVERTENTLY PULLED OUT. HOSPITAL PERSONNEL REPORTED THAT THE PATIENT'S CONDITION STABLIZED WITHIN 10 MINUTES.
Remedial action
- Other