inforMED
MalfunctionIWZ

RESIUS 190 XPRES

Received Oct 13, 2009 · Event occurred Oct 12, 2009

Report 1509706 · MDR key 1509706

Device

Generic name

Imaging Plate, Computed Radiography

Model number

RESIUS 190 XPRESS

Catalog number

*

Lot number

*

Product problems

  • Signal Artifact/Noise
  • Disassembly

Patient

*

  • No Information

Narrative

Description of Event or Problem

OF THE 108 PLATES PUT INTO USE, 60 PLATES HAVE DEVELOPED FLAWS OR ARTIFACTS. THESE ARTIFACTS IF NOT DETECTED COULD RESULT IN ADDITIONAL DIAGNOSTIC TESTING AND POTENTIAL HARM.BEGINNING IN SEPT 2007, THIS FACILITY RETURNED 28 OF THE 43 14" X 17" PLATES UNDER WARRANTY TO KONICA AND RECEIVED REPLACEMENT. SUBSEQUENTLY, AN ADDITIONAL 41 PLATES WERE FOUND TO BE FLAWED. KONICA TOLD THIS HOSPITAL THAT NO OTHER FACILITIES HAVE REPORTED THIS TYPE OF ISSUE.THE ARTIFACT ON THE IMAGING PLATES APPEARS AS A SMALL AREA(S) OF HIGHER ATTENTUATION THAT CAN BE MISTAKEN FOR CALCIFICATION.WE BELIEVE THAT THE CAUSE MAY BE CHIPS OF GLUE WHICH FALL BETWEEN THE COVER AND THE IMAGED STORAGE PLATE. THE GLUE IS USED TO HOLD THE METAL FRAME SURROUNDING THE CASSETTE.

Description of Event or Problem

OF THE 108 PLATES PUT INTO USE, 60 PLATES HAVE DEVELOPED FLAWS OR ARTIFACTS. THESE ARTIFACTS IF NOT DETECTED COULD RESULT IN ADDITIONAL DIAGNOSTIC TESTING AND POTENTIAL HARM.BEGINNING IN SEPT 2007, THIS FACILITY RETURNED 28 OF THE 43 14" X 17" PLATES UNDER WARRANTY TO KONICA AND RECEIVED REPLACEMENT. SUBSEQUENTLY, AN ADDITIONAL 41 PLATES WERE FOUND TO BE FLAWED. KONICA TOLD THIS HOSPITAL THAT NO OTHER FACILITIES HAVE REPORTED THIS TYPE OF ISSUE.THE ARTIFACT ON THE IMAGING PLATES APPEARS AS A SMALL AREA(S) OF HIGHER ATTENTUATION THAT CAN BE MISTAKEN FOR CALCIFICATION.WE BELIEVE THAT THE CAUSE MAY BE CHIPS OF GLUE WHICH FALL BETWEEN THE COVER AND THE IMAGED STORAGE PLATE. THE GLUE IS USED TO HOLD THE METAL FRAME SURROUNDING THE CASSETTE.