HUT EXT DR FINAL ASSY-STANDARD 404008

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-16 for HUT EXT DR FINAL ASSY-STANDARD 404008 manufactured by Liebel-flarsheim.

Event Text Entries

[77940665] Sedecal integrated console display out. Patient was on the table and the sedecal integrated console went blank. Reboots of the console would not bring up the screen. Patient had to be moved to another room. There was a "foob" for the console. Intermittently generator console (old style) freezes and will not reboot. New console will not power on/off generator. The first replacement console was reported as a failure out of box and returned to lf for evaluation on rga 57221811. Evaluation of this console was done by r and d ((b)(6)) who found that the console would power on but not turn on the generator. Further investigation found cause was a broken c1 capacitor on the `turn on' pcb located at the bottom of the console enclosure. The console was returned to sedecal for repair.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1518293-2017-00017
MDR Report Key6646695
Date Received2017-06-16
Date of Report2017-06-16
Date of Event2017-05-19
Date Mfgr Received2017-05-19
Device Manufacturer Date2012-12-31
Date Added to Maude2017-06-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRADIOLOGIC TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactFRED RECKELHOFF
Manufacturer Street2111 E. GALBRAITH RD
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHUT EXT DR FINAL ASSY-STANDARD
Generic NameHUT EXT DR FINAL ASSY-STANDARD
Product CodeIXR
Date Received2017-06-16
Model Number404008
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM
Manufacturer Address2111 E. GALBRAITH RD CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2017-06-16

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