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U.S. Department of Health and Human Services

Class 2 Device Recall GE Healthcare SFX

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  Class 2 Device Recall GE Healthcare SFX see related information
Date Initiated by Firm November 21, 2016
Create Date December 23, 2016
Recall Status1 Terminated 3 on September 26, 2017
Recall Number Z-0916-2017
Recall Event ID 75851
510(K)Number K801320  
Product Classification System, x-ray, fluoroscopic, image-intensified - Product Code JAA
Product SFX

Code Information  Mfg. Lot or Serial # System ID 00000119847MO2 205345RF2 Not Available 501239AMR3 00000063563YY1 602588OP1 Not Available 805326KM3 00000031477YY3 619725RM2 00000031386YY6 619725RM6 Not Available 707263LXR2 Not Available 209578AVTX 00000034272YY5 805497RM7 00000031317YY1 916555RF1 00000039665YY5 415750S9 00000026124YY8 415565DFL2 00000063453YY5 714985R3 Not Available 813932SPEC 00000023723YY0 229312DRS Not Available 404589GSF 00000026193YY3 404791D4A 00000063484YY0 319652ADVRF Not Available 618549CMRF1 00000023674YY5 317662RM4 Not Available 317662RM3 Not Available 812232ARM2 00000023719YY8 502746RF Not Available 318948DRS Not Available 301891RM1 Not Available 410337RF 00000023681YY0 313493ADV 00000023705YY7 517334ADV 00000022193YY7 612243RF 00000031310YY6 816276BRF1 Not Available 704342NR5 Not Available 704765RF1 00000022177YY0 201858RM3 00000022171YY3 505887GRF1 00000022159YY8 505392RF2 Not Available 516579R2 00000052108YY8 718739RF 00000023699YY2 212844RM3 00000031337YY9 405323CRF 00000039657YY2 215831SP Not Available 803522B2 00000052115YY3 803899RF1 00000023744YY6 423926RF Not Available 409883BRF 00000023676YY0 817735FP2 00000026181YY8 703783ARF4 Not Available 703459RF1 00000026111YY5 414529RF1 Not Available 414D1183 00000023843YY6 304348MX8 00000022190YY3 304647GX1 00000022132YY5 00658FLU01 
Recalling Firm/
GE Healthcare, LLC
3000 N Grandview Blvd
Waukesha WI 53188-1615
For Additional Information Contact Stephanie Cass
Manufacturer Reason
for Recall
GE Healthcare is conducting a recall due to the potential fall of aged CRT monitors - Prestige 2, Prestilix, Prestige VH, Prestige SI, RFX/SFX, Legacy, Precision 500D, ADVANTX and Innova 2000 systems.
FDA Determined
Cause 2
Nonconforming Material/Component
Action Consignees were sent on 11/21/2016 a GE Healthcare "Urgent Medical Device Correction" letter GEHC Ref# FMI 10913 dated November 21, 2016. The letter was addressed to Director of Radiology, Risk Manager/Hospital Administrator, and Director of Biomedical Engineering. The letter described the Safety Issue, Safety Instructions, Affected Product Details, Product Correction and Contact Information. If you have any questions or concerns regarding this notification, please contact GE Healthcare Service at 1-800-437-1171 or your local Service Representative.
Quantity in Commerce Total for all products 1,598 (USA 824, OUS 774)
Distribution US: AL, AR, AZ, CA, CO, CT, DC, FL, GA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT,NC, NE NH, NJ, NM, NY, NV, OH, OK, PA, RI, SC, SD, TN, TX,, VA, WA, WO, WY, WV. OUS: Algeria Armenia Australia Austria Brazil Canada Chile China Denmark Egypt France Germany Guatemala Honduras Hong Kong Hungary Iceland India Ireland Italy Japan Korea Libya Mexico Netherlands Netherlands Peru Poland Portugal Russia Saudi Arabia Serbia Sierra Leone Slovakia Spain Taiwan Thailand Turkey United Arab Emirates United Kingdom Venezuela Vietnam
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 = GENERAL ELECTRIC CO.