FINAL ASSY, DR1000 BUCKY TRAY 251007

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,08 report with the FDA on 2009-01-07 for FINAL ASSY, DR1000 BUCKY TRAY 251007 manufactured by Liebel - Flarsheim Co..

Event Text Entries

[1021856] Customer report the grid drive encoder rubs against the optical sensor over time causing grid drive speed changes, in turn, causes image artifacts. (b) (4) says they have to go in and clean off all of the residue from the sensor that seems to solve the problem.
Patient Sequence No: 1, Text Type: D, B5


[8207258] Liebel flarsheim manufacturing report: l f product engineer discussed with the electrical design engineer the effects of the grid homing flag touching the sensor. The conclusion was that this sensor has nothing to do with grid speed. Speed is controlled by the motor encoder; it could only effect grid home position if any. This is the first time we have heard of this problem in over (3) years production. Possible issue could be the centering of the home position flag. Product engineer will follow the assembly operation the next time units are built and observe the centering of the home position flag. If centering of the home position flag is identified as the potential problem, then adjustments to the process will be addressed at that time as required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1518293-2008-00076
MDR Report Key1279079
Report Source06,08
Date Received2009-01-07
Date of Report2004-10-22
Date Mfgr Received2004-10-22
Date Added to Maude2009-12-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDAVID BENSON
Manufacturer Street2111 EAST GALBRAITH RD
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Manufacturer Phone5139485719
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFINAL ASSY, DR1000
Generic NameBUCKY TRAY
Product CodeITY
Date Received2009-01-07
Model NumberBUCKY TRAY
Catalog Number251007
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL - FLARSHEIM CO.
Manufacturer Address2111 E GALBRAITH RD CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2009-01-07

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