| | Class 2 Device Recall Prima III TotalSENSE Torso Coil, a Magnetic Imaging Accessory |  |
| Date Initiated by Firm | March 19, 2004 |
| Date Posted | July 20, 2004 |
| Recall Status1 |
Terminated 3 on March 01, 2012 |
| Recall Number | Z-0849-04 |
| Recall Event ID |
28693 |
| 510(K)Number | K030371 |
| Product Classification |
System, Nuclear Magnetic Resonance Imaging - Product Code LNH
|
| Product | Prima III TotalSENSE Torso Coil (Body Array Coil), labeled as Manufactured by: USA Instruments, Inc. This device is a component of the Magnetom TRIO 3.0T MRI Systems, manufactured by Siemens AG Medical Solutions. |
| Code Information |
USAI P/N: 100352, USAI S/Ns: 310 to 388 (Rev 1 and 2); Siemens P/N: 7578789, Siemens S/Ns: 1010 to 1088. |
| FEI Number |
3005214683
|
Recalling Firm/ Manufacturer |
USA Instruments Inc.
1515 Danner Dr
Aurora
OH
44202-9273
|
| For Additional Information Contact | 330-995-8572 |
Manufacturer Reason for Recall | A defective capacitor in the Body Array Coil may result in unstable, unreliable performance, with excessive heating of patient's body. |
FDA Determined Cause 2 | Other |
| Action | The firm notified the regional Siemens Service Centers by letter on 3/19/2004. The affected coils will be returned to the recalling firm for modification. |
| Quantity in Commerce | 79 |
| Distribution | The device was shipped to domestic consignees located CT, NY, PA, NC, GA, FL, OH, IN, MN, IL, UT, CA, OR; and foreign consignees in Austria, Denmark, Spain, Hong Kong, China, Netherlands, Japan, Taiwan, Korea, Australia, Turkey, Brazil, Germany. |
| Total Product Life Cycle | TPLC Device Report |
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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.
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| 510(K) Database | 510(K)s with Product Code = LNH
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