FDA Adverse Event Summary report: N

BRIGHTVIEW XCT IMAGING SYSTEM

MDR report key: 3805827 · Received April 29, 2014

Report

Report Number
1525965-2014-00085
Date Received
April 29, 2014
Report Date
April 2, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS(CLEVELAND), INC.
Product Code
KPS
PMA / PMN Number
K080927
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). WE WILL FILE A FOLLOW-UP MDR AT THE COMPLETION OF THE INVESTIGATION. (B)(4).

Description of Event or Problem · 1

IN THIS CASE, AN OPERATOR WAS NOT ABLE TO PLACE THE FLAT PANEL DISPLAY (FPD) INTO THE STOW POSITION AND IT WAS STUCK IN THE DEPLOY POSITION. A PHILIPS FIELD SERVICE ENGINEER (FSE) EVALUATED AND FOUND THAT THE FPD HAD COME FREE FROM THE ARM ASSEMBLY AND CONTACTED THE DETECTOR HEAD. THE PHILIPS FSE NOTICED THAT THE PINS WERE NOT ENGAGED BECAUSE A KEY WAS MISSING ON THE BACK HANDLE CAUSING THE PIN MECHANISM NOT TO FUNCTION PROPERLY FOR THE FPD ON THE BRIGHT-VIEW XCT CAMERA. THE PHILIPS FSE NOTICED THE SENSOR HAD CONTACT ON THE BOTTOM MECHANISM FOR THE FPD. THE PHILIPS FSE MADE THE NECESSARY REPAIRS TO THE SYSTEM. THERE WAS NO HARM TO A PATIENT OR OPERATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
256231 BRIGHTVIEW XCT IMAGING SYSTEM KPS PHILIPS MEDICAL SYSTEMS(CLEVELAND), INC. 882482

Patients

Seq Age Sex Outcome Treatment
1