SVC REPL 660HD-E IMAGE MANAGEMENT SYSTEM 72204668 72204668S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-04 for SVC REPL 660HD-E IMAGE MANAGEMENT SYSTEM 72204668 72204668S manufactured by Smith & Nephew, Inc..

Event Text Entries

[107468158] The device was received for evaluation. There was no relationship found between the returned device and the reported incident. A visual inspection was performed on the product and observed no issues. A functional evaluation revealed no problems. The complaint was not verified and the root cause could not be determined since the reported malfunction could not be duplicated during the product evaluation process.
Patient Sequence No: 1, Text Type: N, H10


[107468159] It was reported that the 660 hd unit froze up. The unit was restarted and nothing changed. No patient injury was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1643264-2018-00341
MDR Report Key7489093
Date Received2018-05-04
Date of Report2018-05-10
Date of Event2018-03-06
Date Mfgr Received2018-05-02
Date Added to Maude2018-05-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJIM GONZALES
Manufacturer Street7000 WEST WILLIAM CANNON DRIVE
Manufacturer CityAUSTIN TX
Manufacturer G1SMITH & NEPHEW, INC.
Manufacturer Street76 S. MERIDIAN AVE.
Manufacturer CityOKLAHOMA CITY OK 731076512
Manufacturer CountryUS
Manufacturer Postal Code731076512
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSVC REPL 660HD-E IMAGE MANAGEMENT SYSTEM
Generic NameDEVICE, DIGITAL IMAGE STORAGE, RADIOLOGICAL
Product CodeLMB
Date Received2018-05-04
Returned To Mfg2018-03-14
Model Number72204668
Catalog Number72204668S
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW, INC.
Manufacturer Address76 S. MERIDIAN AVE. OKLAHOMA CITY OK 731076512 US 731076512


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-04

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