inforMED
MalfunctionNVV

MODEL I 128

Received Sep 12, 2014 · Event occurred Sep 8, 2014

Report MW5038200 · MDR key 4096455

Device

Generic name

Model I 128

Product problems

  • Mechanics Altered

Patient

61 YR

  • Radiation Exposure, Unintended

Narrative

Description of Event or Problem

A PODIATRY X-RAY MACHINER HAS BEEN MODIFIED BY A2D2 TO PRODUCT DIGITAL X-RAYS. THE MODIFICATION HAS CHANGED THE ORIGINAL MANUFACTURERS SID. THE CHANGE IN SID VIOLATES THE LIQUID DISTANCE BETWEEN X-RAY TUBE AND SUBJECT CAUSING AN INCREASE IN RADIATION EXPOSURE TO THE PATIENT. A CANNON REBEL T3I SLR CAMERA IS USED TO CAPTURE THE X-RAY IMAGE. HOW CAN THIS BE SO.