FDA Adverse Event
Malfunction
Summary report: N
BODYTOM ELITE
MDR report key: 19282293
·
Received May 9, 2024
Report
- Report Number
- 3004938766-2024-00016
- Event Type
- Malfunction
- Date Received
- May 9, 2024
- Date of Event
- April 19, 2024
- Report Date
- May 9, 2024
- Manufacturer
- NEUROLOGICA CORPORATION
- Product Code
- JAK
- PMA / PMN Number
- K170238
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE PATIENT REQUIRED A RESCAN ON A DIFFERENT MACHINE AS THE BODYTOM ELITE SCANNER STOPPED MID-SCAN. WE HAVE IMPLEMENTED CORRECTIVE MEASURES TO MITIGATE THE RISK AND PREVENT ERRORS THROUGH SERVICE VISIT. DAIL CALIBRATION AND QUALITY ASSURANCE TESTING WAS COMPLETED ON THE SYSTEM WITH NO ISSUES. ANY ADDITIONAL INFORMATION RECEIVED ON THIS INCIDENT WILL BE REPORTED IN A FOLLOW-UP MDR.
Description of Event or Problem · 0
THE PATIENTS HAD RE-EXPOSURE DUE TO THE SCANNER STOPPING IN THE MIDDLE OF A SCAN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1358439 | BODYTOM ELITE | COMPUTED TOMOGRAPHY X-RAY SYSTEM | JAK | NEUROLOGICA CORPORATION | NL4000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |