PRODIGY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-11-01 for PRODIGY manufactured by Ge Healthcare.

Event Text Entries

[16104325] There is an allegation that a pt sustained an injury after a bone density exam performed in (b)(6) 2010. During the exam the scan arm of the ge prodigy system came into contact with one of her knees. One month following the event, the pt stated she had undergone an mri that diagnosed her with a medial meniscus tear. It is not known the treatment the pt received as a result of this diagnosis.
Patient Sequence No: 1, Text Type: D, B5


[16326489] Since the incident occurred more than two years ago, the only info available is what was provided by the initial reporter. The system was under ge healthcare service contact until (b)(4) 2010, and no issues related to this issue were noted. The system was not evaluated prospectively by ge healthcare since this will not provide any valuable info considers the incident occurred back in 2010. At the time of the incident the technologist activated the emergency stop when the pt alerted that the scan arm had impacted her. After the incident the tech made several attempts to have pt see a physician prior to leaving, but she refused. The hospital technologist stated that she performed scans on other pts following this incident; including the same day, and has no reoccurrence of this event. The technologist also stated that the system did not malfunction at the time of the incident, and that preventative maintenance has been performed on the system on a regular basis by a third party service provider. As per design, the unit is equipped with emergency stop buttons and the movement of scan arm is limited in speed and force. No further actions are planned at this time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2124823-2012-00137
MDR Report Key2829634
Report Source05,06
Date Received2012-11-01
Date of Report2012-10-02
Date of Event2010-08-01
Date Mfgr Received2012-10-02
Device Manufacturer Date2001-01-01
Date Added to Maude2012-11-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJOY SONSALLA
Manufacturer Street3000 N. GRANDVIEW BLVD.
Manufacturer CityWAUKESHA WI 53188
Manufacturer CountryUS
Manufacturer Postal53188
Manufacturer Phone2625482661
Manufacturer G1GE HEALTHCARE
Manufacturer CityMILWAUKEE WI
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRODIGY
Generic NameBONE DENSITOMETER
Product CodeKGI
Date Received2012-11-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE
Manufacturer AddressMILWAUKEE WI US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-11-01

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