FDA Adverse Event Malfunction Summary report: N

DRX REVOLUTION MOBILE X-RAY SYSTEM

MDR report key: 23667674 · Received November 27, 2025

Report

Report Number
1317307-2025-00004
Event Type
Malfunction
Date Received
November 27, 2025
Date of Event
October 28, 2025
Report Date
March 19, 2026
Manufacturer
CARESTREAM HEALTH INC.
Product Code
IZL
UDI-DI
60889971019394
PMA / PMN Number
K191025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ON NOVEMBER 27, 2025 AN INITIAL REPORT WAS SUBMITTED AS THERE WERE INSUFFICIENT FACTS AVAILABLE TO MAKE A REPORTABILITY DECISION. INVESTIGATION AND TESTING CONFIRMED THAT THE FAILURE WAS CAUSED BY FATIGUE, WITH NO MANUFACTURING OR MATERIAL DEFECTS IDENTIFIED. THE CURRENT ROOT CAUSE IS ASSESSED AS IMPROPER OR EXCESSIVE USE, RESULTING IN DAMAGE TO THE BOOM ASSEMBLY. VISUAL INSPECTION OF THE IMAGES AND THE RETURNED BOOM ASSEMBLY INDICATES THAT THE EQUIPMENT MAY HAVE BEEN USED BEYOND ITS INTENDED OR EXPECTED USE. INTERNAL FINITE ELEMENT ANALYSIS (FEA) DID NOT IDENTIFY A DESIGN DEFICIENCY; HOWEVER, CARESTREAM HEALTH HAS ALSO ENGAGED AN EXTERNAL ANALYST TO REVIEW AND CONFIRM THE INTERNAL FINDINGS. THEREFORE, CSH IS SUBMITTING FOLLOW UP #3. CSH WILL SUBMIT A FINAL REPORT WITH INVESTIGATION UPDATE/FINDINGS WITHIN 30 DAYS.

Additional Manufacturer Narrative · 0

CSH INVESTIGATION IS CURRENTLY IN PROGRESS. SUBMITTING AN INITIAL REPORT AS THERE ARE CURRENTLY INSUFFICIENT FACTS AVAILABLE TO MAKE AREPORTABILITY DECISION AND AT LEAST 29 DAYS HAVE ELAPSED. CSH WILL SUBMIT A FOLLOW UP WITH INVESTIGATION UPDATE/FINDINGS WITHIN 30 DAYS.

Additional Manufacturer Narrative · 0

CARESTREAM HEALTH INC. (CSH) HAS INVESTIGATED THIS ISSUE. THE INVESTIGATION AND TESTING CONFIRMED THAT THE FAILURE WAS CAUSED BY FATIGUE, WITH NO MANUFACTURING OR MATERIAL DEFECTS IDENTIFIED. THERE WERE NO INJURIES AS A RESULT OF THIS ISSUE AND THERE WAS NO PATIENT INVOLVEMENT. THE CURRENT ROOT CAUSE IS ASSESSED AS IMPROPER OR EXCESSIVE USE, RESULTING IN DAMAGE TO THE BOOM ASSEMBLY. VISUAL INSPECTION OF THE IMAGES AND THE RETURNED BOOM ASSEMBLY INDICATES THAT THE EQUIPMENT MAY HAVE BEEN USED BEYOND ITS INTENDED OR EXPECTED USE. INTERNAL FINITE ELEMENT ANALYSIS (FEA) DID NOT IDENTIFY A DESIGN DEFICIENCY. THE DAMAGED BOOM ASSEMBLY WAS REPLACED. THE RISK HAS BEEN MITIGATED AS FAR AS POSSIBLE. THERE ARE NO FURTHER ACTIONS BY CARESTREAM HEALTH AT THIS TIME. SHOULD NEW INFORMATION EMERGE THAT NECESSITATES FDA REPORTING, CARESTREAM WILL SUBMIT AN UPDATED REPORT.

Additional Manufacturer Narrative · 0

ON NOVEMBER 27, 2025 AN INITIAL REPORT WAS SUBMITTED AS THERE WERE INSUFFICIENT FACTS AVAILABLE TO MAKE A REPORTABILITY DECISION. SUBMITTING A FOLLOW UP #1 AS INVESTIGATION IS ONGOING. CSH WILL SUBMIT A FOLLOW UP WITH INVESTIGATION UPDATE/FINDINGS WITHIN 30 DAYS.

Additional Manufacturer Narrative · 0

ON NOVEMBER 27, 2025 AN INITIAL REPORT WAS SUBMITTED AS THERE WERE INSUFFICIENT FACTS AVAILABLE TO MAKE A REPORTABILITY DECISION. SUBMITTING A FOLLOW UP #2 AS INVESTIGATION IS ONGOING. CSH WILL SUBMIT A FOLLOW UP WITH INVESTIGATION UPDATE/FINDINGS WITHIN 30 DAYS.

Description of Event or Problem · 0

ON 29-OCT-2025, CARESTREAM HEALTH (CSH) WAS INFORMED OF A MECHANICAL ISSUE WHILE USING THE DRX-REVOLUTION MOBILE X-RAY SYSTEM. NO INJURIES REPORTED, THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

ON 29-OCT-2025, CARESTREAM HEALTH (CSH) WAS INFORMED OF A MECHANICAL ISSUE WHILE USING THE DRX-REVOLUTION MOBILE X-RAY SYSTEM. NO INJURIES REPORTED, THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

ON 29-OCT-2025, CARESTREAM HEALTH (CSH) WAS INFORMED OF A MECHANICAL ISSUE WHILE USING THE DRX-REVOLUTION MOBILE X-RAY SYSTEM. NO INJURIES REPORTED. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

ON 29-OCT-2025, CARESTREAM HEALTH (CSH) WAS INFORMED OF A MECHANICAL ISSUE WHILE USING THE DRX-REVOLUTION MOBILE X-RAY SYSTEM. NO INJURIES REPORTED, THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

ON 29-OCT-2025, CARESTREAM HEALTH (CSH) WAS INFORMED OF A MECHANICAL ISSUE WHILE USING THE DRX-REVOLUTION MOBILE X-RAY SYSTEM. NO INJURIES REPORTED, THE INVESTIGATION IS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
154534 DRX REVOLUTION MOBILE X-RAY SYSTEM DRX REVOLUTION MOBILE X-RAY SYSTEM IZL CARESTREAM HEALTH INC. 60889971019394

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other