PRISM 2000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-07-20 for PRISM 2000 manufactured by Picker International, Inc..

Event Text Entries

[20886282] While in use, scanning a pt, unit will lock up. Camera head would not lock in position & moved downward, pinning pt's head to the exam table. Without timely intervention, serious injury was possible.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4000714
MDR Report Key25853
Date Received1995-07-20
Date of Report1995-03-03
Date Added to Maude1995-09-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHYSICIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePRISM
Generic NameGAMMA SCANNING CAMERA
Product CodeIXY
Date Received1995-07-20
Model Number2000
ID Number1524110
Device Availability*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key26496
ManufacturerPICKER INTERNATIONAL, INC.
Manufacturer Address7014 FAIRFIELD BUSINESS FAIRFIELD OH 45014 US


Patients

Patient NumberTreatmentOutcomeDate
10 1995-07-20

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