MalfunctionIWQ

MAVIG

Received Sep 13, 2004 · Event occurred Aug 19, 2004

Report 555005 · MDR key 555005

Device

Generic name

Lead Shield

Manufacturer

Siemens Medical

Model number

OT256V50

Catalog number

Lot number

Product problems

Component Falling
Material Separation

Patient

Injury

Narrative

Description of Event or Problem

WHEN MOVING THE LEAD SHIELD INTO PLACE DURING A PATIENT PROCEDURE, THE SHIELD DISMANTLED FROM THE BASE ON THE CEILING AND FELL TO THE GROUND STRIKING THE PHYSICIAN USER, CAUSING INJURIES.