The customer reported that a patient, who underwent brain surgery for a pulmonary thromboembolism (pte) during ingress and was in the intensive care unit, a ventricular defibrillation occurred, which was reverted after advanced cardio pulmonary resuscitation (cpr).A new pte episode was suspected, so a ct scan was requested.After the patient was loaded onto the ct couch, the scan could not be performed due to an issue with the couch.The customer attempted to reposition the patient; however, the acquisition did not complete and the patient went into cardiac arrest.The staff successfully performed cpr with the patient still on the couch.The patient was taken for a pulmonary angiography which confirmed a bilateral pte had occurred.The patient was taken to surgery to treat the condition.The patient is recovering following surgery.A philips field service engineer (fse) went to the site to evaluate the system.The fse stated that horizontal motion does not meet the usage weight specification.The fse found that during load testing of the couch, an error was recorded in the system log files.The fse replaced the entire couch to resolve the issue with the couch horizontal motion.A philips medical doctor reviewed information provided by the site and confirmed that the patient arrived in a delicate state which is the primary event and proximate cause of the cardiac event.The cardiac arrest did occur while the patient was being repositioned on the ct couch, after the horizontal motion of the couch stopped, but the repositioning was coincidental, not causal.The system is operational and in clinical use.Submission of a report does not constitute an admission that medical personnel, user facility, importer, distributor, manufacturer, or product caused or contributed to the event.
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