MODEL I 128 A2D2 LOGO, MODEL I 128 PODIATRY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-09-12 for MODEL I 128 A2D2 LOGO, MODEL I 128 PODIATRY manufactured by Ann Arbor Digital Devices.

Event Text Entries

[16988786] A podiatry x-ray machiner has been modified by a2d2 to product digital x-rays. The modification has changed the original manufacturers sid. The change in sid violates the liquid distance between x-ray tube and subject causing an increase in radiation exposure to the patient. A cannon rebel t3i slr camera is used to capture the x-ray image. How can this be so.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038200
MDR Report Key4096455
Date Received2014-09-12
Date of Report2014-09-09
Date of Event2014-09-08
Date Added to Maude2014-09-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMODEL I 128
Generic NameMODEL I 128
Product CodeNVV
Date Received2014-09-12
Model NumberA2D2 LOGO, MODEL I 128 PODIATRY
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerANN ARBOR DIGITAL DEVICES


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-09-12

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