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