FDA Adverse Event Malfunction Summary report: N

ARCADIS AVANTIC

MDR report key: 2142698 · Received June 17, 2011

Report

Report Number
2240869-2011-00020
Event Type
Malfunction
Date Received
June 17, 2011
Date of Event
April 1, 2011
Report Date
June 16, 2011
Manufacturer
SIEMENS AG
Product Code
IZL
PMA / PMN Number
K051133
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED BY SIEMENS AREA SERVICE MANAGER, (B)(6), THAT REPAIR WORK WAS PERFORMED AT THE SITE (B)(4) 2011. NEW COMPUTER WAS INSTALLED, THE SOFTWARE WAS RELOADED, AND THE PARTS WERE SENT TO THE FACTORY FOR FURTHER INVESTIGATION. THE SYSTEM HAS BEEN FUNCTIONING WITHIN SPECIFICATIONS SINCE (B)(4) 2011. (B)(6).

Description of Event or Problem · 1

IT WAS REPORTED THAT AN ARCADIS AVANTIC HAS BEEN INTERMITTENTLY SHUTTING DOWN DURING SURGICAL PROCEDURES LEAVING PHYSICIANS WITHOUT IMAGING CAPABILITY DURING THE SURGERIES. THE SYSTEM IS INSTALLED IN A SURGICAL CENTER AT THIS SITE AND IS BEING USED DURING ORTHOPEDIC SURGERY. THE SYSTEM PRESENTS A BLUE SCREEN COMPUTER FAILURE AND REQUIRES A REBOOT TO CORRECT THE ISSUE. AT TIMES THE REBOOT HAS NOT CORRECTED THE PROBLEM AND THE REPORTED SYSTEM DOES NOT COME BACK AND IMAGE. THERE IS NO INJURY INVOLVED IN THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCADIS AVANTIC SYSTEM, X-RAY, MOBILE IZL SIEMENS AG 10048590

Patients

Seq Age Sex Outcome Treatment
1 Other