FDA Adverse Event
Malfunction
Summary report: N
SELENIA DIMENSIONS MAMMOGRAPHY SYSTEM 3D
MDR report key: 6853423
·
Received September 8, 2017
Report
- Report Number
- 1220984-2017-00024
- Event Type
- Malfunction
- Date Received
- September 8, 2017
- Date of Event
- August 10, 2017
- Report Date
- August 10, 2017
- Manufacturer
- HOLOGIC, INC
- Product Code
- OTE
- PMA / PMN Number
- P080003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- RADIOLOGIC TECHNOLOGIST
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY THE CUSTOMER A "SPIRAL SHADE ON IMAGE" WAS FOUND WHICH RESULTED IN THE NEED FOR AN ADDITIONAL EXPOSURE TO COMPLETE THE EXAM. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED WHICH REVEALED NO DUST OR FOREIGN THINGS WERE NOT FOUND IN THE FILTER, COLLIMATOR AND FPD GRID. THE SOFTWARE WAS REVISED AND THE IMAGE WAS NEWLY UPLOADED AND NO SYMPTOMS OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 632313 | SELENIA DIMENSIONS MAMMOGRAPHY SYSTEM 3D | MAMMOGRAPHY SYSTEM | OTE | HOLOGIC, INC | SDM-00001-3D | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |