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