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U.S. Department of Health and Human Services

Class 3 Device Recall Achieva 1.5T

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  Class 3 Device Recall Achieva 1.5T see related information
Date Initiated by Firm December 29, 2023
Date Posted January 25, 2024
Recall Status1 Open3, Classified
Recall Number Z-0807-2024
Recall Event ID 93788
510(K)Number K193215  
Product Classification System, nuclear magnetic resonance spectroscopic - Product Code LNI
Product Achieva 1.5T, Model No. 781178, 781196, 781296
Code Information Model No. 781178 UDI-DI N/A Serial Number 20150; Model No. 781196 UDI-DI N/A Serial Nos. 22270 22095 21113; Model No. 781296 UDI-DI 00884838004108 Serial Nos. 33406 33547 32773 32789 32388
Recalling Firm/
Manufacturer
Philips North America
222 Jacobs St
Cambridge MA 02141-2296
For Additional Information Contact Customer Care Solution Center
800-722-9377
Manufacturer Reason
for Recall
An incorrect electrical shock warning label may have been placed on the Liquid Cooling Cabinet (LCC) of affected MR systems. The caution symbol on the incorrect label has a white background instead of yellow, and the label is missing the high voltage warning symbol. This presents a potential risk of electrical shock for service personnel.
FDA Determined
Cause 2
Under Investigation by firm
Action On December 29, 2023, the firm notified affected customers with URGENT Medical Device Correction letters. The firm stated there is no impact to patients or users. There is a potential risk of electrical shock for service personnel. Customers may continue to use MR systems in accordance with the intended use. Circulate this notice to all users of this device so that they are aware of the issue, and post the letter in the technical room until the electrical shock warning label is updated. A Philips representative will contact you to schedule a time for a Field Service Engineer to verify the electrical shock warning label and apply the correct label if applicable. If you need any further information or support concerning this issue, please contact the Customer Care Solutions Center (1-800-722-9377).
Quantity in Commerce 7 US; 16 ROW total
Distribution Worldwide - US Nationwide distribution in the states of AR, CO, IL, MD, MS, NE, TX and the countries of Brazil, Canada, China, Germany, Greece, India, Mexico, and Saudi Arabia.
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
510(K) Database 510(K)s with Product Code = LNI and Original Applicant = Philips Medical Systems Nederland BV
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