MAUDE Adverse Event Report: PHILIPS MEDICAL SYSTEMS DMC GMBH DIGITALDIAGNOST 4.1 CHEST / EMERGENCY; STATIONARY BASIC DIAGNOSTIC X-RAY SYSTEM, DIGITAL

Model Number	DIGITALDIAGNOST 4.1 CHEST / EMERGENCY
Medical Device Problem Codes	Device Handling Problem (3265); Device Fell (4014)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/24/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Reference id: (b)(4).The digitaldiagnost 4.X is a stationary x-ray system for general radiographic purposes.As an option, a portable digital flat panel detector (model "skyplate") can be used for image capture.Philips received a complaint on digitaldiagnost 4.X indicating that the skyplate detector has a dent in the surface.The device was in clinical use and there was no harm to patient or user.The remote service engineer (rse) performed analysis and concluded that the detector had been dropped, causing a 7mm dent in the white plastic cover, the dent does not affect the black surface of the detector.The radiographer tied to adjust the image values to focus on the dent, it was visible in the test images.The customer is currently using an old skyplate detector.The damaged detector and protective stickers need to be replaced.A replacement quotation was sent to customer.Based on the information available and the testing conducted, the cause of the reported problem was detector drop.The reported problem was confirmed by the customer.Thus, it is concluded that the detector was dropped by accident (use error).
Event or Problem Description
It was reported that the detector has a dent in the surface.The device was in clinical use and there was no harm to patient or user.Additional information received from remote service engineer as detector dropped by customer.

• Brand Name: DIGITALDIAGNOST 4.1 CHEST / EMERGENCY
• Common Device Name: STATIONARY BASIC DIAGNOSTIC X-RAY SYSTEM, DIGITAL
• Manufacturer (Section D): PHILIPS MEDICAL SYSTEMS DMC GMBH; roentgenstrasse 24; hamburg 22335 ; GM 22335
• Manufacturer (Section G): PHILIPS MEDICAL SYSTEMS DMC GMBH; roentgenstrasse 24; hamburg 22335 ; GM 22335
• Manufacturer Contact: dusty leppert ; 100 park avenue, suite 300; orange village, OH 44122
• MDR Report Key: 21534465
• Report Number: 3003768251-2025-000029
• Device Sequence Number: 15418058
• Product Code: MQB
• UDI-Device Identifier: 00884838074521
• UDI-Public: (01)00884838074521
• Combination Product (Y/N): N
• Initial Reporter Country: FI
• PMA/510(K) Number: K170113
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 03/06/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Model Number: DIGITALDIAGNOST 4.1 CHEST / EMERGENCY
• Device Catalogue Number: 712033
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/24/2025
• Initial Report FDA Received Date: 03/06/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): Yes
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown