inforMED
MalfunctionKPW

PEGASYS

Received Sep 25, 2003 · Event occurred Sep 19, 2003

Report MW1029682 · MDR key 489082

Device

Generic name

Collimator Exchanger Carrier

Manufacturer

Adac Laboratories

Model number

*

Catalog number

*

Lot number

*

Product problems

  • Component Falling
  • Repair
  • Other (for use when an appropriate device code cannot be identified)

Patient

32 YR

  • Other (for use when an appropriate patient code cannot be identified)
  • Injury

Narrative

Description of Event or Problem

COLLIMATOR EXCHANGE CARRIER WAS OUT OF ADJUSTMENT. FELL ON EMPLOYEE CAUSING STRAIN TO BACK AND INJURY TO HIP AND RIGHT FOOT. FIELD REP NOTIFIED. ON-SITE VISIT CONDUCTED OF EQUIPMENT. EXCHANGE CARRIAGE WAS OUT OF ADJUSTMENT. ADJUSTED CARRIER AND CLEANED BEARINGS.