COLLIMATOR ACCESSORY LATCH
Received Oct 21, 1996
Report MW1010122 · MDR key 43973
Device
Product problems
- Component Falling
Patient
*
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
COLLIMATOR ACCESSORY LATCH FAILED DURING GANTRY MOVEMENT CAUSING THE WEDGE MOUNT TRAY AND BLOCK MOUNT TRAY TO FALL TO THE FLOOR. A PT WAS ON THE TREATMENT TABLE AND THE TRAYS BARELY MISSED THE PT. A SVC BULLETIN WAS ISSUED BY MFR REGARDING A PROBLEM OF THIS NATURE. IT CALLS FOR THE PARTS TO BE INSPECTED AT THE TIME OF A PM AS A MINIMUM. A PM WAS DONE SEVEN DAYS PRIOR TO THIS INCIDENT. THIS BULLETIN WAS ISSUED 12/28/89 AND THERE HAS BEEN NO ATTEMPT THAT RPTR IS AWARE OF TO CORRECT THE DEFECT. (*)