It was reported that the patient was injured during movement into the gantry after the patient positioning procedure.Additional information received by siemens on december 13, 2022, clarified that the patient's fifth digit on the right hand became stuck between tabletop and body coil.According to the hospital staff, soft tissue swelling of the digit was observed at the time of incident.Furthermore, it was stated that there was a laceration which required three (3) sutures and the digit was dislocated.The patient required a surgical procedure to resolved severe ulnar deviation of the metacarpophalangeal joint of the fifth digit.
|
H10 manufacturer narrative: siemens completed the investigation of the reported event.As previously reported, siemens was informed that the patient was injured during movement into the gantry after the patient positioning procedure.Additional information received by siemens on december 13, 2022, clarified that the patient's fifth digit on the right hand became stuck between tabletop and body coil.According to the hospital staff, soft tissue swelling of the digit was observed at the time of incident.Furthermore, it was stated that there was a laceration which required three (3) sutures and the digit was dislocated.The patient required a surgical procedure to resolved severe ulnar deviation of the metacarpophalangeal joint of the fifth digit.According to the siemens service technician, the gap on the right side between body coil and tabletop was 10mm instead of the required maximum of 8mm.The gap measurement of 10mm contributed to the patient's finger becoming stuck in the gap.Furthermore, it is in the responsibility of the operator to take care that the patient is safely laying on the table during table movements.The magnetom avanto operator manual - mr system; syngo mr d13, page a.2-14, provides clear instructions to carefully monitor the patient during table movement.Siemens recommended that the operation staff be retrained.The siemens service engineer visited the customer site to adjust the tabletop distances so they will be within specification.The system is now within specification.The complaint was closed.
|