OtherIXL
SCOPO 76
Received Jan 19, 2006 · Event occurred Apr 11, 2005
Report 1217116-2006-00002 · MDR key 666574
Device
Generic name
Spot Film Device
Manufacturer
Philips Medical SystemsModel number
4512-129-06371Catalog number
NA
Lot number
NA
Product problems
- Explode
- Film processing, inadequate
- Leak/Splash
Patient
UNKNOWN
- Therapy/non-surgical treatment, additional
- Chemical Exposure
Narrative
Description of Event or Problem
A BARIATRIC PT WAS UNDERGOING FLUOROSCOPY EXAMINATION. AFTER 56 SECONDS OF FLUOROSCOPY, THE EXAMINATION TECHNIQUE WAS CHANGED BECAUSE OF POOR QUALITY TO DIGITAL SPOT FILMS. AFTER A TOTAL OF 39 DIGITAL SPOT FILMS WERE COMPLETED, THE CATHODE RAY TUBE EXPLODED SPRAYING THE PT, X-RAY TECH AND PHYSICIAN WITH OIL. NO INJURIES WERE REPORTED.