Siemens became aware of an incident that occurred on the (b)(6) max unit.A patient went in for examination and was sitting in a chair next to the patient table.While the technician was adjusting the height of the patient table, it moved down onto the patients leg.The technician then quickly pressed the emergency button to release the patient.It was reported that patient legs were pinched, and this resulted in the distal thigh of the patient being swollen.The reported incident occurred in (b)(6).
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The issue was investigated in detail.According to the information received, the patient table had been lowered onto the patient's leg resulting in swelling of the distal thigh.It was confirmed that no medical intervention was necessary.The log files were delayed and no longer contained the time of event as the log files were overwritten.As the log files covering the time of event were no longer available for investigation, thus, the system configuration could also not be examined.There is a warning in the operator manual (doc.Id: xpb7-030.620.01.01.02; register 2 "system safety"; page 38-39) not to position patient legs under the table and not to move the table while a patient is seated near the table.The patient tabletop (not the table frame) is equipped with a collision detection system that stops system movements in case a collision is detected.The table frame itself, per system specifications, is not equipped with a collision sensor.According to the provided information the customer confirmed that the issue was caused by operator.No system malfunction could be determined.
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