FDA Adverse Event
Summary report: N
INTELLISPACE PORTAL
MDR report key: 3738483
·
Received March 31, 2014
Report
- Report Number
- 1525965-2014-00063
- Date Received
- March 31, 2014
- Report Date
- March 5, 2014
- Manufacturer
- PHILIPS MEDICAL SYSTEMS(CLEVELAND), INC.
- Product Code
- LLZ
- PMA / PMN Number
- K060937
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
(B)(4). NOTE: WE HAVE NOT COMPLETED OUR INVESTIGATION OF THIS EVENT. WE WILL FILE A F/U MDR AT THE COMPLETION OF THE INVESTIGATION. (B)(4). INITIAL MDR MAILED ON (B)(4) 2014.
Description of Event or Problem · 1
PHILIPS REC'D FEEDBACK FROM A CUSTOMER, REPORTING THAT THERE ARE DIFFERENCES IN AUTOQUANT RESULTS BETWEEN THE INTELLISPACE PORTAL (ISP) AND EXTENDED BRILLIANCE WORKSPACE (EBW). ISP5 AUTOQUANT RESULTS DO NOT MATCH THE RESULTS OF THOSE IN EBW (NUCLEAR MEDICINE) AND JETSTREAM WORKSTATION (JSWS), AND ARE CORRECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 192614 | INTELLISPACE PORTAL | SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED | LLZ | PHILIPS MEDICAL SYSTEMS(CLEVELAND), INC. | 881001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |