Lot Number - |
Device Problems
Component Falling (1105); Sharp Edges (4013)
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Patient Problem
Laceration(s) (1946)
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Event Date 06/14/2022 |
Event Type
Injury
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Event Description
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The victim (nurse) was responding from the patient's head.While she was straddling the gantry her left foot was between the gantry arms.Since the operator did not notice and rotated the c arm toward the victim, the right side of the left knee fell down as if it were attached to the base, and the left knee was pinched by a sharp edge.It was a laceration.The victim was injured by suturing 5 needles around the center of the left knee.The treatment was temporarily suspended, but it was resumed immediately after the victim was rescued, so there is no significant time loss.There is no effect on the patient.
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Manufacturer Narrative
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Udi not required.Legal manufacturer: (b)(4).
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Manufacturer Narrative
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Based on the gehc engineering's investigation, no device problem has been found.The hazardous situation is a partial entrapment of the nurse leg between the l-arm and the motorized c-arm which lead to a serious injury (skin tear).The ongoing exam was successfully finished.Cause of the event is user error, lack of knowledge of moving parts handling.No similar event has happened during the last 3 years.No additional corrections, corrective, or preventive actions were identified during the course of the investigation.
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Event Description
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As a result of uncontrolled motion, hospital employee was trapped and injured by moving part.
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Search Alerts/Recalls
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