HUT EXT DR FINAL ASSY-REVERSE 404007

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2012-01-24 for HUT EXT DR FINAL ASSY-REVERSE 404007 manufactured by Liebel-flarsheim Co.

Event Text Entries

[2540424] (b)(4): customer reported that the system would freeze-up after taking x-rays during a patient procedure. Type of procedure being performed, patient age and gender where not known. System was rebooted multiple times and physician was able to complete procedure. No injuries to report.
Patient Sequence No: 1, Text Type: D, B5


[9587029] Field service engineer (fse) troubleshot the system and an excessive number of patient files being stored which was slowing the system dramatically. Fse explained problem to the customer, and suggested that they delete all unnecessary patient files. Upon completion of deleting excess files, the system tested good in accordance with the systems install and service manual. System was checked for proper operation per service checklist unit passed checkout procedures and was returned to full service.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1518293-2012-00019
MDR Report Key2442094
Report Source05,06,07
Date Received2012-01-24
Date of Report2012-01-24
Date of Event2012-01-18
Date Mfgr Received2012-01-18
Device Manufacturer Date2009-08-01
Date Added to Maude2012-08-08
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 Phone5139485714
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHUT EXT DR FINAL ASSY-REVERSE
Product CodeKQS
Date Received2012-01-24
Model NumberHUT EXT DR
Catalog Number404007
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM CO
Manufacturer Address2111 EAST GALBRAITH RD. CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2012-01-24

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