DISCOVERY DISCOVERY C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2011-10-21 for DISCOVERY DISCOVERY C manufactured by Hologic, Inc..

Event Text Entries

[2340705] Customer called to report that x-ray lights stays on after the scan is completed. No injury to patient or to the operator were reported.
Patient Sequence No: 1, Text Type: D, B5


[9425263] When the report was received, the customer was instructed to remove the unit from service and field engineer was dispatched to perform evaluation and repair of the unit. The field engineer determined that the failure was caused by a defective c-arm interface board. The field engineer replaced the board and verified proper operation of the device. Follow up service was scheduled and upgrade of the software in accordance with the recall instructions was performed. The unit was then returned to service and is operating in accordance with the specification.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1221300-2011-00001
MDR Report Key2319606
Report Source05
Date Received2011-10-21
Date of Report2011-10-22
Date of Event2011-10-03
Date Mfgr Received2011-10-03
Device Manufacturer Date2007-03-01
Date Added to Maude2012-07-09
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 ContactLIDA REED, DIRECTOR
Manufacturer Street35 CROSBY DR.
Manufacturer CityBEDFORD MA 01730
Manufacturer CountryUS
Manufacturer Postal01730
Manufacturer Phone7819997589
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction NumberZ-1725-2009
Event Type3
Type of Report3

Device Details

Brand NameDISCOVERY
Generic NameBONE DENSITY
Product CodeKGI
Date Received2011-10-21
Model NumberDISCOVERY C
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2011-10-21

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