SYMBIA S 08717741

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2015-07-15 for SYMBIA S 08717741 manufactured by Siemens Medical Solutions Usa, Inc..

Event Text Entries

[6030321] Manufacturer narrative: on 06/22/2015 siemens became aware of a complaint event that indicated a patient sustained a shallow cut to their left hand during the movement of the symbia system bed by the operator. On 06/30/2015 in response to a request for additional information to investigation this complaint, siemens was informed that the patient cut resulted in stitches to the area near the base of the thumb. No product defects or failures were found. A review of product labeling determined that instructions were adequate with regard to the operation and safety instructions of the symbia s system. The patient injury was the result of user error. The operator was using the hand controller to manually move the patient bed and did not ensure that the patient kept all body parts out of the way of the moving table. No operator injury occurred. Customer narrative: "after the exam, the technologist used the hand controller to move the table away from the gantry horizontally. During this movement the patient. During on pallet supine feet facing the gantry, moved their left hand and placed it behind their back, sustaining a shallow cut to their left hand. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423253-2015-00006
MDR Report Key4925821
Report Source05,07
Date Received2015-07-15
Date of Report2015-06-22
Date of Event2015-06-19
Date Mfgr Received2015-06-23
Device Manufacturer Date2007-01-01
Date Added to Maude2015-07-21
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 ContactLAURA MEYER
Manufacturer Street2501 NORTH BARRINGTON RD.
Manufacturer CityHOFFMAN ESTATES IL 60192
Manufacturer CountryUS
Manufacturer Postal60192
Manufacturer Phone8473046022
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSYMBIA S
Generic NameGAMMA CAMERA
Product CodeIYX
Date Received2015-07-15
Model Number08717741
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS MEDICAL SOLUTIONS USA, INC.
Manufacturer Address2501 NORTH BARRINGTON RD. HOFFMAN ESTATES IL 60192 US 60192


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-07-15

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