FDA Adverse Event
Summary report: N
BRIGHTVIEW XCT IMAGING SYSTEM
MDR report key: 3020560
·
Received March 20, 2013
Report
- Report Number
- 1525965-2013-00059
- Date Received
- March 20, 2013
- Report Date
- February 28, 2013
- Manufacturer
- PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC.
- Product Code
- KPS
- PMA / PMN Number
- K080927
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
WE WILL FILE A FOLLOW-UP MDR AT THE COMPLETION OF THE INVESTIGATION.(B)(4).
Description of Event or Problem · 1
PHILIPS RECEIVED INFORMATION THAT THE CUSTOMER REPORTED THAT WHEN PREPARING TO PERFORM QA, THE OPERATOR WAS NOT ABLE TO LOCK THE CT FLAT PANEL DETECTOR IN PLACE. THERE WAS NO REPORT OF HARM TO A PT, BYSTANDER OR TRAINED PROFESSIONAL AS A RESULT OF THIS REPORTED EVENT AND NO REPORT OF A RESCAN OR REINJECTION ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 116187 | BRIGHTVIEW XCT IMAGING SYSTEM | KPS | PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. | 882482 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |