FDA Adverse Event Malfunction Summary report: N

GENDEX GXP DENTAL X-RAY PROCESSOR

MDR report key: 1701469 · Received May 27, 2010

Report

Report Number
3004115000-2010-00009
Event Type
Malfunction
Date Received
May 27, 2010
Date of Event
April 27, 2010
Report Date
April 27, 2010
Manufacturer
GENDEX DENTAL SYSTEMS
Product Code
EGY
PMA / PMN Number
K945682
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

THERE WAS NO PROPERTY DAMAGE OR USER INJURY WITH THIS EVENT. THE TOP COVER ASSEMBLY OF THE FILM PROCESSOR CONTAINS A FAN AND HEATER THAT OPERATES DURING THE DRYING OF THE FILM AS PART OF THE X-RAY FILM PROCESSING. THE FAN CREATES THE AIR FLOW OVER THE HEATER FOR DRYING THE X-RAY FILM. THE FAN STOPPED WORKING FOR UNKNOWN REASONS POSSIBLY CONTRIBUTING TO THE OVERHEATING OF THE HEATER UNIT. THE MANUFACTURER HAS REQUESTED RETURN OF THE FAN AND HEATER FROM THE DENTAL OFFICE FOR EVALUATION. THE FILM PROCESSING UNIT HAS BEEN REPAIRED WITH A FAN AND HEATER REPLACEMENT AND IS OPERATIONAL.

Description of Event or Problem · 1

THE DOCTOR STATED THAT DURING OPERATION OF THE DENTAL X-RAY FILM PROCESSOR, THE DRYER FAN STOPPED OPERATING WHILE THE HEATER CONTINUED TO OPERATE. THIS RESULTED IN THE HEATER ASSEMBLY OVERHEATING AND STARTING ON FIRE. THE FIRE WAS LOCALIZED TO THE FILM PROCESSOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GENDEX GXP DENTAL X-RAY PROCESSOR DENTAL X-RAY FILM PROCESSOR EGY GENDEX DENTAL SYSTEMS 112-0527G1

Patients

Seq Age Sex Outcome Treatment
1