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U.S. Department of Health and Human Services

Class 2 Device Recall Canon Aquilion Prime SP, Model TSX303B

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  Class 2 Device Recall Canon Aquilion Prime SP, Model TSX303B see related information
Date Initiated by Firm March 25, 2019
Date Posted April 10, 2020
Recall Status1 Open3, Classified
Recall Number Z-1724-2020
Recall Event ID 84954
510(K)Number K172188  
Product Classification System, x-ray, tomography, computed - Product Code JAK
Product Canon Aquilion Prime SP, Model TSX-303B
Code Information Canon Aquilion Prime SP, Multislice Helical CT Scanner, Model TSX-303B - Serial numbers 1LB1882092, 1LB1882088, 1LB18X2111, 1LB1882086, 1LB18X2129, 1LB18X2109, 1LB1882087, 1LB1882090, 1LB1892093, and 1OB1892102.
Recalling Firm/
Manufacturer
Canon Medical System, USA, INC.
2441 Michelle Dr
Tustin CA 92780-7047
For Additional Information Contact Ms. Terry Schultz
714-669-1421
Manufacturer Reason
for Recall
Scanning may be interrupted due to an error during execution of the eXam Plan and the system is unable to be shut down normally, resulting in the need to forcibly turn the system power off and reboot. Loss of the acquired raw data would occur.
FDA Determined
Cause 2
Software design
Action Recall letters dated 3/25/2019 were issued on 3/25/2019 via USPS return receipt mail.
Quantity in Commerce 10 devices
Distribution Distribution was made to AK, AR, CA, FL, IA, ID, IL, KS, MA, MD, MI, MN, MO, MT, NC, ND, NH, NY, OH, OK, OR, PA, TN, TX, VT, WA, WI, and WV. There was government and military distribution but no foreign distribution.
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 = JAK and Original Applicant = Toshiba Medical Systems Coroporation
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