FDA Adverse Event Other Summary report: N

ISITE PACS

MDR report key: 1440663 · Received August 13, 2009

Report

Report Number
2954704-2009-00015
Event Type
Other
Date Received
August 13, 2009
Date of Event
July 17, 2009
Report Date
July 17, 2009
Manufacturer
PHILIPS HEALTHCARE INFO, INC
Product Code
LLZ
PMA / PMN Number
K063267
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ISITE PACS IS A SOFTWARE PRODUCT. WE ARE ABLE TO EVALUATE THE PRODUCT AT THE CUSTOMER SITE BY REMOTE ACCESS, AS WELL AS EVALUATE THE SAME PRODUCT VERSION IN-HOUSE. BASED ON THE AVAILABLE INFO AT THE TIME OF THIS REPORT, WE CANNOT CONFIRM THAT THE DEVICE WAS A FACTOR IN THE INCIDENT. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO REGARDING THIS ISSUE AND THE COMPLAINT IS STILL UNDER INVESTIGATION.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT TRANSFER OF IMAGES FOR (B)(6) PT FROM MODALITY TO PACS TOOK MORE THAN AN HOUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ISITE PACS ISITE PACS LLZ PHILIPS HEALTHCARE INFO, INC

Patients

Seq Age Sex Outcome Treatment
1