INGENUITY TF PET/MR 882380

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 2014-03-03 for INGENUITY TF PET/MR 882380 manufactured by Philips Medical Systems(cleveland), Inc..

Event Text Entries

[16687234] The customer was using a phantom to validate one of their protocols on their ingenuity tf pet/mr system, when they noticed the (digital imaging and communications in medicine) dicom header on the 'mr spectroscopy storage' of chemical shift imaging (csi) had an incorrect format to identify rows and columns. The customer also noticed that when the data was transferred to non-philips device and processed with dicom header info according to the dicom standard; the spectroscopic images would be transposed and image orientation would be mislabeled resulting in a wrong orientation of the csi data. A spectrum that is normally located at the top right hand corner was now located at the bottom left hand corner. There was no report of harm to a pt, bystander or trained professional as a result of the issue. The validation testing was all done using a phantom with no pt involvement.
Patient Sequence No: 1, Text Type: D, B5


[16712398] (b)(4). Note: we have not completed our investigationi of this event. We will file a follow-up mdr at the completion of the investigation. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1525965-2014-00038
MDR Report Key3687404
Report Source05,06,07
Date Received2014-03-03
Date of Report2014-02-14
Date Mfgr Received2014-02-14
Date Added to Maude2014-05-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKUMUDINI CARTER
Manufacturer Street595 MINER RD.
Manufacturer CityCLEVELAND OH 44143
Manufacturer CountryUS
Manufacturer Postal44143
Manufacturer Phone4404833032
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINGENUITY TF PET/MR
Product CodeOUO
Date Received2014-03-03
Model Number882380
Catalog Number882380
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYSTEMS(CLEVELAND), INC.
Manufacturer Address595 MINER RD. CLEVELAND OH 44143 US 44143


Patients

Patient NumberTreatmentOutcomeDate
10 2014-03-03

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.