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U.S. Department of Health and Human Services

Class 2 Device Recall Allura Xper FD Series and Allura Xper OR Table Series

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 Class 2 Device Recall Allura Xper FD Series and Allura Xper OR Table Seriessee related information
Date Initiated by FirmAugust 08, 2024
Date PostedAugust 22, 2024
Recall Status1 Open3, Classified
Recall NumberZ-2716-2024
Recall Event ID 95144
510(K)NumberK161563 
Product Classification Interventional fluoroscopic x-ray system - Product Code OWB
ProductPhilips Allura Xper systems (R8.1 with Poly-G Stand) Interventional Fluoroscopic X-Ray System, Model Numbers 722010, 722012, 722013
Code Information Serial Numbers: 111 138 467 817 2928 269
FEI Number 3002807880
Recalling Firm/
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Veenpluis 4-6
Best Netherlands
Manufacturer Reason
for Recall
A half-threaded bolt was included in the LTE kits instead of the correct full-threaded bolt.
FDA Determined
Cause 2
Under Investigation by firm
ActionAn URGENT Medical Device Correction notification letter dated 7/31/24 was sent to customers. Actions that should be taken by the customer / user in order to prevent risks for patients. a. Affected systems may continue to be used in accordance with the Instructions for Use (IFU). b. Keep this Urgent Medical Device Correction letter with the documentation of the system until Philips corrects your system. Ensure the letter is in a place likely to be seen/viewed. c. Circulate this notice to all users of the system so that they are aware of the issue. d. Should you experience uncontrolled C-arm movement, call your local Philips representative to report the event. e. Return the attached response form to Philips promptly and no later than 30 days from receipt to confirm that the users of the system have reviewed and understood this Medical Device Correction and required actions to be taken. Actions planned by Philips IGT-S to correct the problem Philips will contact all affected customers to arrange for a Field Service Engineer visit to install an updated Lifetime Extension Kit with the correct full-threaded bolt (reference FCO72200590). If you need any further information or support concerning this issue, contact your local Philips representative at 1-800-722-9377 (Philips Customer Care Solutions Center).
Quantity in Commerce6 units
DistributionWorldwide - US Nationwide distribution in the states of IL and OR. The countries of Hungary, Ireland, Poland, UK.
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = OWB
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