K58000220

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-27 for K58000220 manufactured by Carestream Health, Inc..

Event Text Entries

[185223722] Called to icu for line placement portable chest x-ray (pcxr), left dept after next pt. Around 10 min later with port 6 image taken, appeared on screen, but turned red and failed to send. Detector could not be selected to take a new image a different machine was used, and image taken successfully total time taken to complete pcxr was about 30 minutes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9888505
MDR Report Key9888505
Date Received2020-03-27
Date of Report2020-03-13
Date of Event2020-01-07
Report Date2020-03-13
Date Reported to FDA2020-03-13
Date Reported to Mfgr2020-03-27
Date Added to Maude2020-03-27
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameSYSTEM, X-RAY, MOBILE
Product CodeIZL
Date Received2020-03-27
Model NumberK58000220
Lot Number2461
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCARESTREAM HEALTH, INC.
Manufacturer Address1049 WEST RIDGE ROAD ROCHESTER NY 14615 US 14615


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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