inforMED
EAK

GE - L/F

Received Aug 6, 2004

Report 538567 · MDR key 538567

Device

Generic name

Lead Shield (plexiglass)

Manufacturer

*

Model number

801437686

Catalog number

*

Lot number

*

Product problems

  • Detachment Of Device Component
  • Loose

Patient

*

  • Injury
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

LEAD GLASS SHIELD BECAME LOOSE AND UNATTACHED FROM CEILING MOUNTED COUNTERPOISE, ALLOWING SHIELD TO FALL, TECH PUSHED SHIELD AWAY, KEEPING IT FROM HITTING PT AT FULL FORCE. SHIELD DID GRAZE PT REQUIRING X-RAY FOR POSSIBLE INJURY.