FUJI COMPUTED RADIOGRAPHY FCR 9000 SYSTEM CRIR317 XIR9000I

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 1998-03-25 for FUJI COMPUTED RADIOGRAPHY FCR 9000 SYSTEM CRIR317 XIR9000I manufactured by Fuji Photo Film Co., Ltd..

Event Text Entries

[97173] The customer reported that an image for one pt was associated with the identification info of another pt.
Patient Sequence No: 1, Text Type: D, B5


[7780821] Representatives from service and technical support depts evaluated the device in question and found no defects or discrepancies. The service and technical support depts could not find the exact cause of this condition. However, the reported condition can be duplicated if: 1) the operator does not clear the previous pt identification info after rebooting the device. Or 2) the clocks in the id terminals disagree. Or 3) the id for a newly composed imaging plate remains unprocessed for some reason when it is read without deliberately accomplishing id registration, the system will process the imaging plate on the basis of the id info, judging that id registration has been completed. Co reviewed the records and found this to be an isolated incident. Although co has no other reports of this nature, to reduce the potential for this type of event, co created and has implemented software upgrade version idt718/719 version 10. Based on the above info co's investigation has been concluded.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2443168-1998-00001
MDR Report Key159942
Report Source05,06
Date Received1998-03-25
Date of Report1998-03-25
Date of Event1998-02-25
Date Mfgr Received1998-02-25
Date Added to Maude1998-04-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFUJI COMPUTED RADIOGRAPHY FCR 9000 SYSTEM
Generic NameCOMPUTED RADIOGRAPHY SYSTEM
Product CodeIXK
Date Received1998-03-25
Model NumberCRIR317
Catalog NumberXIR9000I
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key155768
ManufacturerFUJI PHOTO FILM CO., LTD.
Manufacturer Address26-30 NISHIAZABU 2-CHOME MINATO-KU TOKYO JA 106-8620
Baseline Brand NameFUJI COMPUTED RADIOGRAPHY FCR 9000 SYSTEM
Baseline Generic NameCOMPUTED RADIOGRAPHY SYSTEM
Baseline Model NoCRIR317
Baseline Catalog NoXIR90000I
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-03-25

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