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U.S. Department of Health and Human Services

Class 2 Device Recall OminDiagnost Eleva

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  Class 2 Device Recall OminDiagnost Eleva see related information
Date Initiated by Firm December 10, 2008
Date Posted September 24, 2009
Recall Status1 Terminated 3 on August 17, 2012
Recall Number Z-0352-2009
Recall Event ID 50742
510(K)Number K032046  
Product Classification Angiographic X-Ray System - Product Code JAA
Product OminDiagnost Eleva
Code Information FCO 70800085 Equipment #'s 102666, 103056, 104083, 104136, 104530, 104838, 105194, 105394, 504340, 504341, 505039, 505345, 505346, 506236, 506247, 519141, 519142, 519574, 519952, 520020, 520046, 521113, 521977, 522220, 530589, 530777, 532087, 532140, 532151, 532213, 532703, 533112, 533314, 533471, 533473, 533559, 534247, 535257, 535714, 535767, 536019, 536091, 536146, 536720, 536935, 537083, 537669, 537787, 539106, 539598, 539990, 540252, 541263, 541490, 543272, 544059, 545014, 545841, 546031, 547017, 547348, 549798, 553676, 558404, 42036161, 42383151, 43180366, 43180367, and 43680651,
Recalling Firm/
Manufacturer		 Philips Medical Systems North America Co. Phillips
22100 Bothell Everett Hwy
Bothell WA 98021-8431
For Additional Information Contact
425-487-7602
Manufacturer Reason
for Recall		 Tube failure occurs involving fluoroscopy of large patients and a partial failure of the grid switch.
FDA Determined
Cause 2		 Radiation Control for Health and Safety Act
Action An Electronic Product Radiation Warning, dated October 2008, was sent to customers. The letter identified the problem and under what circumstances that it could occur; the actions that should be taken by the customer/user to prevent risks for patients or users; and the actions planned by Philips to correct the problem. Further information or support concerning the issue could be obtained by contacting Bob Pettis at 425-487-7469 or the Philips Call Center at 800-722-9377. Firm FCO tracking numbers 72200107, 72200108, 72200111, 72200112, 72200117, 72200118, 72200119, 72200122, 72200123, 72200124, 72200125, 72200129, 72200142, 7989980, 7080085, 70600034, 70600035, 72200132, 72200133, 72200137, 72200138, 72200140 and 72200141. C & R # 1217116-10/20/08-016C
Quantity in Commerce 69 units
Distribution Worldwide Distribution
Total Product Life Cycle TPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = JAA and Original Applicant = PHILIPS MEDICAL SYSTEMS, INC.
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