FDA Adverse Event Malfunction Summary report: N

DIGITAL RADIOGRAPHY CXDI-70C WIRELESS

MDR report key: 2897197 · Received December 31, 2012

Report

Report Number
1000181430-2012-00226
Event Type
Malfunction
Date Received
December 31, 2012
Report Date
May 15, 2012
Manufacturer
CANON, INC
Product Code
MQB
PMA / PMN Number
K102012
Removal / Correction Number
Z-2265-2012
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, 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).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY OBSERVED ERROR MESSAGE CODES. THE PANEL WAS RETURNED AND SERVICED FOR THE LOOSE SCREW ISSUE.

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