FDA Adverse Event
Malfunction
Summary report: N
CERETOM ELITE
MDR report key: 11043010
·
Received December 19, 2020
Report
- Report Number
- 3004938766-2020-00016
- Event Type
- Malfunction
- Date Received
- December 19, 2020
- Date of Event
- August 27, 2020
- Report Date
- December 18, 2020
- Manufacturer
- NEUROLOGICA CORPORATION
- Product Code
- JAK
- PMA / PMN Number
- K172539
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
WHILE FIELD SERVICE ENGINEER WAS EXAMINING THE LAPTOP, ALL DIAGNOSTICS PASSED. HOWEVER, IT WAS NOTICED THAT THE LAPTOP HAD SEVERAL APPLICATIONS RUNNING, WHICH MAY HAVE CAUSED THE LAPTOP TO RUN SLOWLY. WHILE THE FIELD SERVICE ENGINEER WAS REVIEWING THE COMPUTER LOGS, IT WAS OBSERVED THAT THERE WAS A DISCONNECT WHEN THE SCOUT SCAN WAS RUNNING. THE CERETOM APPLICATION SEEM TO FUNCTION AFTER THE TECHNICIAN REVIEWED THE ISSUE. EVEN THOUGH THE PATIENT UNDERWENT TWO SCOUT SCANS, THE DOSE AMOUNT RECEIVED IS WELL BELOW THE DOSE THRESHOLD AND IS NOT CONSIDERED HARMFUL TO THE PATIENT.
Description of Event or Problem · 1
DURING THE INITIAL SCOUT SCAN OF A PATIENT, THE SCOUT IMAGE WAS NOT RECEIVED BY THE LAPTOP COMPUTER. THE TECHNICIAN COMPLETED A SECOND SCOUT SCAN AND RECEIVED THE IMAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1507456 | CERETOM ELITE | COMPUTED TOMOGRAPHY X-RAY SYSTEM, PRODUCT CODE: | JAK | NEUROLOGICA CORPORATION | NL3000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |