FDA Adverse Event Injury Summary report: N

DRX REVOLUTION MOBILE X-RAY SYSTEM

MDR report key: 18909658 · Received March 14, 2024

Report

Report Number
1317307-2024-00003
Event Type
Injury
Date Received
March 14, 2024
Date of Event
February 20, 2024
Report Date
March 14, 2024
Manufacturer
CARESTREAM HEALTH INC.
Product Code
IZL
UDI-DI
60889978618897
PMA / PMN Number
K191025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CARESTREAM HEALTH INC. (CSH) HAS INVESTIGATED THIS ISSUE AND IT WAS DETERMINED THAT THIS WAS DUE TO USER ERROR WHILE DRIVING THE UNIT BY PUTTING THE TECH'S BACK AGAINST A DOOR WHILE PULLING THE DEVICE TOWARDS HIM AND THROUGH THE DOOR. THIS RESULTED IN THE TECH'S LEG TO BE INJURED. CARESTREAM HAS BEEN UNABLE TO OBTAIN ADDITIONAL DETAILS REGARDING THE STATUS OF THE TECHNICIAN'S INJURY. THE CUSTOMER SITE WAS INFORMED OF THE FINDINGS AND CSH REITERATED TO FOLLOW THE INSTRUCTIONS FOR USE AND RECOMMENDED GUIDELINES FOR DRIVING THE SYSTEM. THE DRX-REVOLUTION SYSTEM WAS EVALUATED, AND IT WAS CONFIRMED THAT IT WAS FUNCTIONING AS DESIGNED AND INTENDED. THERE ARE NO FURTHER ACTIONS TO BE TAKEN BY CARESTREAM HEALTH INC. RELATED TO THIS ISSUE. THE RISK HAS BEEN MITIGATED AS FAR AS POSSIBLE. CARESTREAM HAS COMPLETED THIS INVESTIGATION.

Description of Event or Problem · 0

ON 20-FEB-2024, CARESTREAM HEALTH INC. (CSH) WAS INFORMED OF AN UNINTENDED MOVEMENT WHILE USING THE DRX-REVOLUTION PLUS MOBILE X-RAY SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
754641 DRX REVOLUTION MOBILE X-RAY SYSTEM DRX REVOLUTION MOBILE X-RAY SYSTEM IZL CARESTREAM HEALTH INC. 60889978618897

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other