FDA Adverse Event Malfunction Summary report: N

DIGITAL DIAGNOST

MDR report key: 2211975 · Received August 10, 2011

Report

Report Number
3003768251-2011-00043
Event Type
Malfunction
Date Received
August 10, 2011
Report Date
May 20, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS GMBH DMC
Product Code
MQB
PMA / PMN Number
K982795
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DE, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE INVESTIGATION SHOWED THAT THE AUTOMATIC STITCHING PROCESS CAN LEAD TO AN INCORRECT IMAGE IF NOT ANALYZED CORRECTLY. IT WAS REPORTED THAT THE CUSTOMER WAS USING THE SYS INCORRECTLY AND AS A RESULT OF PT MOVEMENTS, PT BREATHING AND RULER MOVEMENT COULD LEAD TO AUTOMATIC STITCHING. BASED ON THIS REPORTED ISSUE THE CUSTOMER HAS BEEN RETRAINED ON HOW TO REVIEW THE INDIVIDUAL IMAGES AGAINST THE COMPOSITE IMAGE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A STITCHING PROBLEM, WHICH CAN POTENTIALLY LEAD TO A MISDIAGNOSIS. A CHILD WAS INVOLVED IN THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIGITAL DIAGNOST MQB PHILIPS MEDICAL SYSTEMS GMBH DMC 712020

Patients

Seq Age Sex Outcome Treatment
1