| Date Initiated by Firm | August 08, 2024 |
| Date Posted | August 22, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2716-2024 |
| Recall Event ID |
95144 |
| 510(K)Number | K161563 |
| Product Classification |
Interventional fluoroscopic x-ray system - Product Code OWB
|
| Product | Philips 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 |
| Action | An 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 Commerce | 6 units |
| Distribution | Worldwide - US Nationwide distribution in the states of IL and OR. The countries of Hungary, Ireland, Poland, UK. |
| 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 = OWB
|