MAUDE MDR 2853199

MDR report key
2853199
Report number
1225671-2008-00001
Event key
0
Event type
3
Date of event
2008-03-01
Date received
2008-06-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
STEVE NAUGLE
Address
98 SPIT BROOK RD. STE 100 NASHUA NH 03062 US
Phone
603-603-6038
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SLDH, DIGITAL TOWERSECONDLOOK DIGITAL CAD SYSTEMICAD INC.LMADSC002-03SLDH-300PNAN N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12008-06-260

Event Narratives#

D

Patient 1

WE RECEIVED NOTIFICATION FROM OUR CUSTOMER THAT OUR SECONDLOOK, COMPUTER-AIDED DETECTION (CAD) SYSTEM FOR MAMMOGRAPHY HAD ALLEGEDLY MALFUNCTIONED. THE CUSTOMER REPORTED THAT THE ICAD SYSTEM IMAGES WERE BEING SENT TO A (B)(4) WORKSTATION THAT APPEARED SLIGHTLY SKEWED IN THE STRUCTURED WORKSTATION REPORT. THE CUSTOMER INDICATED THAT THIS EVENT OCCURRED AFTER HOLOGIC UPGRADED THEIR WORKSTATION SOFTWARE. (B)(4).

N

Patient 1

ICAD RECEIVED INFORMATION FROM THE CUSTOMER INDICATING THAT (B)(4) HAD IDENTIFIED THAT THE PROBLEM WAS BEING CAUSED BY THEIR DEVICE. ICAD CONTACTED (B)(4) FOR MORE INFORMATION ON THIS ISSUE. OUR INVESTIGATION HAS IDENTIFIED THE ROOT CAUSE OF THE REPORTED CONDITION AS A SOFTWARE ERROR USED IN THE (B)(4) WORKSTATION THAT RESULTED IN THE SKEWED CAD MARKS OUR CUSTOMER REPORTED TO ICAD. ON (B)(4) 2008, ICAD BECAME AWARE OF A CLASS 3 RECALL ON THE (B)(4) FULL FIELD DIGITAL MAMMOGRAPHY SYSTEM. THIS SYSTEM WAS IDENTIFIED BY OUR CUSTOMER AS BEING USED WITH THE ICAD SECONDLOOK DIGITAL SERVER IN THE (B)(6) 2008 REPORTED EVENT. ICAD CONTACTED (B)(4) TO DETERMINE IF THE CORRECTIVE ACTIONS IDENTIFIED IN THE (B)(4) RECALL NOTIFICATION HAD TAKEN PLACE. THE (B)(4) REPRESENTATIVE INDICATED THAT THE WORKSTATION SERIAL NUMBERS LISTED ON THE RECALL WERE BEING CORRECTED. ICAD MADE A FOLLOW-UP PHONE CALL TO OUR CUSTOMER TO CHECK THE STATUS OF THE (B)(4) RECALL ACTIONS. OUR CUSTOMER REPORTED THAT AFTER (B)(4) CORRECTED THE REPORTED SOFTWARE ISSUE, THE PROBLEM HAD NOT REOCCURRED. NO ADDITIONAL ACTIONS ARE PLANNED BY ICAD HOWEVER, WE WILL CONTINUE TO MONITOR FOR THE REPORTED CONDITION.