FDA Adverse Event
Malfunction
Summary report: N
SHIMADZU RADSPEED
MDR report key: 10074715
·
Received May 19, 2020
Report
- Report Number
- MW5094571
- Event Type
- Malfunction
- Date Received
- May 19, 2020
- Date of Event
- February 26, 2020
- Report Date
- May 15, 2020
- Manufacturer
- SHIMADZU MEDICAL SYSTEMS
- Product Code
- KPR
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
THE SHIMADZU RADSPEED WILL CHANGE ITS MAS AND TIME BY ITSELF. THE FIRST MACHINE OCCURRENCE WAS DATED (B)(6) 2020. WE HAVE HAD A RADSPEED DO THE SAME THING ON (B)(6) 2020. SYSTEM ID FOR THE FIRST MACHINE IS (B)(4) AND THE 2ND MACHINE IS (B)(4). FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 536797 | SHIMADZU RADSPEED | SYSTEM, X-RAY, STATIONARY | KPR | SHIMADZU MEDICAL SYSTEMS | RADSPEED | ||
| 536798 | SHIMADZU RADSPEED | SYSTEM, X-RAY, STATIONARY | KPR | SHIMADZU MEDICAL SYSTEMS | RADSPEED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |