inforMED
DeathIYZ

SCANNING TABLE

Received Jun 25, 1993 · Event occurred Apr 28, 1993

Report 2126677-1993-00005 · MDR key 5881

Device

Generic name

Nuclear Mechine Scanning Table

Manufacturer

Adc Medical

Model number

UNKNOWN

Catalog number

H25D3GG

Lot number

UNKNOWN

Patient

71 YR

Narrative

Description of Event or Problem

IT WAS REPORTED TO GE THAT WHILE A TECHNICIAN WAS MOVING A NUCLEAR MEDICINE SCANNING TABLE, WITH A PATIENT ON IT, A WHEEL CAME OFF OF THE TABLE. THE PATIENT REPORTEDLY SLID FROM THE TABLE TO THE FLOOR AND HIT HER HEAD. SHE RECEIVED A BRUISE AND A SMALL CUT ON HER FOREHEAD. X-RAYS WERE TAKEN OF HER SKULL AND HIP. A DOCTOR EXAMINED HER. NO TREATMENT WAS GIVEN FOR THE CUT ON THE FOREHEAD. IT WAS ALSO REPORTED TO GE THAT THE PATIENT DIED SOME 16 HOURS LATER. WE HAVE NO INFORMATION ABOUT THE PATIENT'S PRE-EXISTING CONDITION AND OUR INVESTIGATION HAS NOT PRODUCED ANY INFORMATION ABOUT CAUSE AND EFFECT. AT THIS TIME WE CONSIDER THE FALL AND THE SUBSEQUENT DEATH TO BE UNRELATEDDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED. INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: UNKNOWN (CANNOT DETERMINE). CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.