inforMED
MalfunctionKPX

PUCK FILM CHANGER

Received May 2, 1996 · Event occurred Mar 5, 1996

Report MW1009011 · MDR key 32525

Device

Generic name

Film Changer

Model number

93 59 159 G127E

Catalog number

BA

Lot number

NA

Product problems

  • Break
  • Collapse
  • Component(s), broken

Patient

77 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

WHILE PT WAS HAVING AN ANGIOGRAPHY PROCEDURE, ONE OF TWO MOUNTING BRACKETS FOR THE FILM CHANGER WAS NOTED TO BE BROKEN. THE FILM CHANGER WAS TILTED. THE PT WAS REMOVED FROM THE TABLE. THE SECOND BRACKET THEN BROKE CAUSING THE FILM CHANGER TO FALL.