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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CT SCANNER; SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED

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CT SCANNER; SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED Back to Search Results
Device Problem Use of Device Problem (1670)
Patient Problem Unintended Radiation Exposure (4565)
Event Date 06/17/2022
Event Type  Injury  
Event Description
Unnecessarily prescribed a ct scan, then received severe over exposure to ionizing radiation.In other words i was unnecessarily exposed to high levels of ionizing radiation during a ct brain scan.Was given more than ten times the absorbed ionizing radiation dose for a brain scan and was scanned at that dose multiple times in one sitting due to a negligent ct operator and older improperly maintained and improperly calibrated ct scanner.This absorbed ionizing radiation over exposure to my brain at 15 plus msv scanned multiple times (inside ct scanner for over 10 minutes) when i only should've been scanned once, happened at the (b)(6) hospital.Fda safety report id# (b)(4).
 
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Brand Name
CT SCANNER
Type of Device
SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED
MDR Report Key15113739
MDR Text Key296785333
Report NumberMW5111147
Device Sequence Number1
Product Code JAK
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/23/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/26/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age41 YR
Patient SexFemale
Patient Weight54 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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