DRX REVOLUTION MOBILE X-RAY SYSTEM
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 |