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Model Number EXCELSIUS3D |
Device Problem
Poor Quality Image (1408)
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Patient Problem
Unintended Radiation Exposure (4565)
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Event Date 07/20/2022 |
Event Type
malfunction
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Event Description
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The e3d was used to image a patient at the end of a surgery.The images were of poor quality and were unusable, causing the patient to endure unnecessary radiation.It was determined that the frame grabber did not catch like it was supposed to.Manufacturer response for imaging system, globus medical (per site reporter) we pulled logs from the device and sent them to the manufacturer for review.It was determined that the frame grabber did not catch like it was supposed to.We had a meeting with the e3d reps and were told to take a test image prior to each case to determine if the device is in a ¿good state.¿ we discussed what a good and bad test image looks like.
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