FDA Adverse Event Malfunction Summary report: N

CERETOM ELITE

MDR report key: 10216318 · Received July 1, 2020

Report

Report Number
3004938766-2020-00005
Event Type
Malfunction
Date Received
July 1, 2020
Date of Event
March 16, 2020
Report Date
June 30, 2020
Manufacturer
NEUROLOGICA CORPORATION
Product Code
JAK
PMA / PMN Number
K172539
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

UPON ROOT CAUSE ANALYSIS BY OUR SERVICE TECHNICIAN, IT WAS DETERMINED VIA THE SYSTEM'S SCANNER LOG THAT THE 60V SUPPLY DROPPED DURING SCAN , WHICH CAUSED A TRANSLATE VELOCITY ERROR. IT WAS FOUND THAT LAPTOP WAS LOCKED UN-FINALIZED ON A REGISTERED FAILED STUDY. THE SERVICE ENGINEER THEN HAD TO END THE APPLICATION GUI AND REBOOT REMOTELY. THE ISSUE COULD ALSO HAVE BEEN CAUSED FROM THE CENTIPEDE STUDDERING WHICH RESETS THE 60V SUPPLY. AFTER FULL REBOOT THE SCANNER FUNCTIONED NORMALLY AND A TEST PROTOCOL WAS COMPLETED.

Description of Event or Problem · 1

SCAN FAILED DURING 1ST SCOUT ON A STROKE INFLICTED PATIENT. SYSTEM CONNECTION WAS GREY AND ICONS WERE LOCKED. PATIENT TRANSPORTED TO THE HOSPITAL FOR TREATMENT. THE SCANNER TRAVEL WAS NORMAL NO DEBRIS OR STUTTER AND THE INDICATORS WORKED BUT STAYED ON AFTER THE SCAN STOPPED. IT APPEARED TO BE LOSS OF COMMUNICATION AT THE TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
682571 CERETOM ELITE COMPUTED TOMOGRAPHY X-RAY SYSTEM JAK NEUROLOGICA CORPORATION NL3000

Patients

Seq Age Sex Outcome Treatment
1