FDA Adverse Event Malfunction Summary report: N

DIGITAL RADIOGRAPHY CXDI-70C WIRELESS

MDR report key: 2897188 · Received December 31, 2012

Report

Report Number
1000181430-2012-00220
Event Type
Malfunction
Date Received
December 31, 2012
Report Date
April 26, 2012
Manufacturer
CANON, INC
Product Code
MQB
PMA / PMN Number
K102012
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, 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 CANNON HEALTHCARE SOLUTIONS USA. (B)(4). THE SERVICE ENGINEER UPLOADED THE SYSTEM LOGS. HE SUGGESTED THAT THE CUSTOMER UPGRADE THE SOFTWARE TO VERSION 1.40.0 TO RESOLVE THE ISSUE WITH THE EXPOSURE LENGTH. THE UNIT NEEDED A GENERATOR SOFTWARE UPGRADE AS WELL IN ORDER TO SUPPORT VERSION 1.40 AND THE STITCHING FUNCTION. MFR CROSS-REFERENCE #: (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT FIVE ERROR MESSAGES DISPLAYED ON THE SYSTEM. THE ERROR MESSAGES WERE RELATED TO THE IMAGE LENGTH TIME (1 TO 3 SECOND EXPOSURE). THE IMAGES WOULD HAVE BEEN LOST BEFORE THEY WERE TRANSFERRED TO PACS. IT IS POSSIBLE THAT THE IMAGES WERE 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