FDA Adverse Event Malfunction Summary report: N

DIGITAL RADIOGRAPHY CXDI-70C WIRELESS

MDR report key: 2897139 · Received December 31, 2012

Report

Report Number
1000181430-2012-00153
Event Type
Malfunction
Date Received
December 31, 2012
Report Date
June 14, 2011
Manufacturer
CANON, INC.
Product Code
MQB
PMA / PMN Number
K102012
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS MDR IS BEING SUBMITTED RETROACTIVELY AS A RESULT OF AN INTERNAL AUDIT OF COMPLAINT FILES CONDUCTED BY (B)(4). GENDER INFO WAS NOT PROVIDED.(B)(4). THE CAUSE OF THE LOST IMAGES WAS THAT THE DEALER SERVICE REPRESENTATIVE DID NOT FOLLOW PROTOCOL FOR RESOLVING THE DATABASE ERROR. HE RESTORED THE DATABASE AND THE MOST RECENT IMAGES WERE NO LONGER AVAILABLE. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY COULDN'T RETRIEVE THE PT'S IMAGES. THE SYSTEM HAD A DATABASE ERROR. THE DEALER SERVICE REPRESENTATIVE RESTORED THE DATABASE AND THE MOST RECENT IMAGES WERE NO LONGER AVAILABLE. THE IMAGES WERE LOST. IT IS POSSIBLE THAT THE IMAGE WAS RETAKEN, RESULTING IN UNINTENDED RADIATION EXPOSURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIGITAL RADIOGRAPHY CXDI-70C WIRELESS MQB CANON, INC. CXDI-70C WIRELESS NA

Patients

Seq Age Sex Outcome Treatment
1 UNK