inforMED
MalfunctionOWB

INTELLI-C

Received Feb 28, 2023 · Event occurred Jan 31, 2023

Report 1000188474-2023-00001 · MDR key 16452169

Device

Generic name

Interventional Fluoroscopic X-ray System

Manufacturer

Nrt X-ray A/s

Model number

03400010

Product problems

  • Break
  • Break

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

FROM PHOTOS RECEIVED FROM SITE, WE CAN CLEARLY SEE THAT THE DRIVE SHAFT IS BROKEN. A NEW DRIVE SHAFT HAS BEEN INSTALLED ON SITE, AND THE PARTS INVOLVED IN THE EVENT ARE BEING TRANSPORTED TO NRT FOR INVESTIGATION. ONCE RECEIVED, THE PARTS WILL UNDERGO METALLURGIC ANALYSIS TO ESTABLISH THE ROOT CAUSE OF THE EVENT.

Description of Event or Problem

DURING AN EXAMINATION OF A PATIENT, IT WAS FOUND THAT A DRIVE SHAFT IN THE IDE MOVEMENT OF THE INTELLI-C X-RAY DEVICE HAD BROKEN. THE IDE MOVEMENT THAT DRIVES THE DETECTOR INTO POSITION, MOVED UNTIL IT WAS STOPPED BY THE MOVEMENT END STOP. THE EVENT DID NOT CAUSE ANY INJURY TO PATIENT OR OPERATOR AS NO ONE WAS HIT BY THE UNINTENDED MOVEMENT.