|
Device Problems
Detachment Of Device Component (1104); Component Falling (1105); Installation-Related Problem (2965)
|
Patient Problems
No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
|
Event Date 06/23/2017 |
Event Type
malfunction
|
Manufacturer Narrative
|
Ge healthcare's investigation is ongoing.A follow-up report will be submitted once the investigation has been completed.Device evaluation anticipated, but not yet begun.
|
|
Event Description
|
On (b)(6) 2017, the technologist at (b)(6) healthcare in the united states stated that during a wall stand radiographic exam the collimator detached from the tube column.The technologist caught the collimator from falling and therefore the collimator did not impact any person.There was no injury related to this event.
|
|
Manufacturer Narrative
|
Ge healthcare¿s investigation has been completed and the root cause of the collimator detaching was the ge field engineer (fe) did not properly install the collimator.The day prior to the collimator detaching, the fe confirmed the collimator was de-installed/re-installed as a result of an x-ray tube replacement.The instructions within the service manual contain the following caution ¿the collimator rotation lever must be fully depressed when mounting/installing the collimator to the tube/collimator interface plate.Failure to do so could cause the collimator to mount improperly and fall from the unit.¿ this caution was reviewed with the fe and he confirmed he did not depress the rotation lever when he installed the collimator the previous day.To correct this issue, the fe installed the collimator according to the most current revision of the service manual and was reminded to always follow all instructions, warnings and cautions within all system documents.No further actions are needed.
|
|
Search Alerts/Recalls
|
|
|