FDA Adverse Event Other Summary report: N

KODAK DIRECTVIEW CR CASSETTE

MDR report key: 576710 · Received February 28, 2005

Report

Report Number
1317307-2005-00001
Event Type
Other
Date Received
February 28, 2005
Date of Event
January 4, 2005
Report Date
February 25, 2005
Manufacturer
EASTMAN KODAK COMPANY
Product Code
MQB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

A COMPUTED RADIOGRAPHY (CR) SCREEN ARTIFACT RESEMBLING A 3/16" CIRCULAR WHITE DOT WAS NOTED ON 3 CLINICAL IMAGES USING THE KODAK DIRECTVIEW CR CASSETTE /35 X 43 CM WITH ATTACHED STORAGE PHOSPHOR (SP) SCREEN. THE WHITE DOT ARTIFACT WAS IDENTIFIED BY THE RADIOLOGIST AS AN IMAGE ARTIFACT AS IT WAS VISIBLE IN THE SAME LOCATION ON EACH OF THE 3 CLINICIAL IMAGES. AN INVESTIGATION WAS INITIATED ON THIS CUSTOMER COMPLAINT BECAUSE THE RADIOLOGIST HAD CONCERN THAT THIS WHITE DOT ARTIFACT COULD HAVE BEEN MISTAKEN FOR A LUNG NODULE. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KODAK DIRECTVIEW CR CASSETTE CR CASSETTE WITH ATTACHED SP SCREEN MQB EASTMAN KODAK COMPANY NA 1706

Patients

Seq Age Sex Outcome Treatment
1 31 YR Other