NOMAD PRO 0.850.0009

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-03-01 for NOMAD PRO 0.850.0009 manufactured by Aribex.

Event Text Entries

[101511143] Upon visual inspection, it appeared that a thermal event occurred. It was not possible to determine the exact sequence of events that led to the thermal event. However, there is evidence that a short occured in the lower battery pack between the cells and printed circuit board. There was a blackening on the top of the lower battery pack and its printed circuit board. Cells 2 and 3 appeared to have been involved in the thermal event, likely by supplying energy into a fault in the board. Additionally there was a slight melting of the handset plastic enclosure. The unit was repaired and returned to customer. This concludes the investigation.
Patient Sequence No: 1, Text Type: N, H10


[101511144] Customer returned unit to aribex for an annual evaluation. There was no report of injuries or impact to patient care. There was no indication of a product problem at the time of the initial report. The unit was evaluated on 02/08/2018 by a repair technician. During the evaluation, the technician determined that a battery handset required further investigation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1017522-2018-00007
MDR Report Key7307061
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-03-01
Date of Report2018-03-01
Date of Event2018-02-08
Date Mfgr Received2018-02-08
Device Manufacturer Date2012-11-09
Date Added to Maude2018-03-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ERIKA MARTIN
Manufacturer Street11727 FRUEHAUF DRIVE
Manufacturer CityCHARLOTTE NC 28273
Manufacturer CountryUS
Manufacturer Postal28273
Manufacturer Phone7045877241
Manufacturer G1ARIBEX
Manufacturer Street11727 FRUEHAUF DRIVE
Manufacturer CityCHARLOTTE NC 28273
Manufacturer CountryUS
Manufacturer Postal Code28273
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNOMAD PRO
Generic NameEXTRAORAL SOURCE X-RAY SYSTEM
Product CodeEHD
Date Received2018-03-01
Model Number0.850.0009
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerARIBEX
Manufacturer Address11727 FRUEHAUF DRIVE CHARLOTTE NC 28273 US 28273


Patients

Patient NumberTreatmentOutcomeDate
10 2018-03-01

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