DISCOVERY XR656

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07,company representative, report with the FDA on 2015-06-26 for DISCOVERY XR656 manufactured by Ge Hangwei Medical Systems Co., Ltd..

Event Text Entries

[6047009] It was reported that during installation of the discovery xr656 wall stand, it was identified that the counterweights within the wall stand column were not moving up and down as the detector arm was moved. At that time, the vendor field engineer (fe) removed the wall stand top cover to check the counterweights and identified the belt that is responsible for lifting the counterweights was loose. As the fe was troubleshooting this event, the fe put their hand under the suspended counterweights when the counterweights suddenly fell and impacted the field engineer's finger. The field engineer received a fracture and laceration on their left ring finger. The treatment that was completed was to clean and suture the wound.
Patient Sequence No: 1, Text Type: D, B5


[13955947] The initial reporter is located outside the u. S. , and therefore this information is not provided due to country privacy laws. Ge healthcare's investigation is ongoing. A follow-up report will be submitted once the investigation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[65681845] Ge healthcare's investigation has concluded and the cause of this event was determined to be an installation error as the installer should never position their hands directly under the counterweights during servicing or installation of this device.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9613445-2015-00005
MDR Report Key4871752
Report Source01,07,COMPANY REPRESENTATIVE,
Date Received2015-06-26
Date of Report2015-05-29
Date of Event2015-05-29
Date Mfgr Received2015-07-19
Device Manufacturer Date2014-07-20
Date Added to Maude2015-06-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJOHN SZALINSKI
Manufacturer Street540 W. NORTHWEST HIGHWAY
Manufacturer CityBARRINGTON IL 600103076
Manufacturer CountryUS
Manufacturer Postal600103076
Manufacturer Phone8472774719
Manufacturer G1GE HANGWEI MEDICAL SYSTEMS CO., LTD.
Manufacturer StreetNO. 2 YONG CHANG NORTH RD.
Manufacturer CityBEIJING, 100176
Manufacturer CountryCH
Manufacturer Postal Code100176
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDISCOVERY XR656
Generic NameSYSTEM, X-RAY, TOMOGRAPHIC
Product CodeIZF
Date Received2015-06-26
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerGE HANGWEI MEDICAL SYSTEMS CO., LTD.
Manufacturer AddressNO. 2 YONG CHANG NORTH RD. BEIJING, 100176 CH 100176


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-06-26

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