Date Initiated by Firm |
February 02, 2023 |
Date Posted |
May 02, 2023 |
Recall Status1 |
Open3, Classified |
Recall Number |
Z-1498-2023 |
Recall Event ID |
92046 |
510(K)Number |
K163286
|
Product Classification |
Interventional fluoroscopic x-ray system - Product Code OWB
|
Product |
ARTIS pheno systems with a Siemens Healthineers table or Trumpf/MAQUET table (OEM)- Angiography systems developed for single and biplane diagnostic imaging and interventional procedures. Model: 10849000 |
Code Information |
UDI: 04056869046877
S/N:
Serial #
164140
164159
164138
164332
164331
164033
164287
164282
164210
164184
164183
164311
164142
164312
164071
164328
164034
164391
164318
164244
164306
164155
164340
164189
164277
164173
164292
164231
164095
164057
164055
164054
164329
164072
164190
164048
164025
164026
164027
164338
164094
164241
164326
164267
164186
164068
164121
164157
164019
164152
164161
164013
164069
164213
164073
164293
164263
164298
164060
164083
164113
164021
164066
164398
164362
164124
164125
164366
164279
164075
164098
164028
164153
164330
164389
164394
164172
164086
164084
164074
164295
164353
164234
164321
164242
164275
164270
164315
164344
164163
164158
164053
164171
164297
164134
164253
164333
164188
164377
164403
164063
164064
164397
164300
164299
164105
164160
164024
164080
164049
164240
164359
164227
164228
164018
164022
164250
164061
164187
164115
164399
164011
164211
164216
164204
164205
164212
164100
164097
164269
164303
164322
164355
164400
164196
164352
164168
164319
164201
164202
164371
|
Recalling Firm/ Manufacturer |
Siemens Medical Solutions USA, Inc 40 Liberty Blvd Malvern PA 19355-1418
|
For Additional Information Contact |
SAME 610-219-4834
|
Manufacturer Reason for Recall |
If, during the procedure, X-ray has been released and a reference image has been stored, the following issue may occur: If "Adjust C-arm to Ref" is activated when the C-Arm is positioned outside of the working range the C-Arm will reach the target position with an inaccuracy of 5-10 mm. As a result, the message Endposition reached will be displayed .Leading to unintended direction of the movement causing crushing of a patient, staff member, operator, or equipmen
Live images may not match the previously stored reference images. Overlay images may be shown inaccurate on anatomy (e.g., DSA Roadmap workflow does not match real anatomy). This may cause e.g., a vessel perforation in DSA roadmap.
|
FDA Determined Cause 2 |
Software design |
Action |
Siemens Healthineers issued to all users of ARTIS pheno systems with a Siemens Healthineers table or Trumpf/MAQUET table (OEM) a Customer Safety Advisory Notice to affected customers via AX041/22/S dated 2/3/23. Letter states reason for recall, health risk and action to take for addressing three potential software issues: Detection of wrong table movement direction; Adjust C-arm to Ref; Missing movement stop with multiple collision sensor activation. Siemens will correct the software error via Update Instructions AX040/22/S. Our service organization will contact you shortly to arrange a date to perform this corrective action. Please feel free to contact our service organization for an earlier appointment at 1-800-888-7436. Please review, understand, and confirm acknowledgement of the information and instructions outlined in this Urgent Safety Advisory Notice.
Siemens
A software update to correct the error will be distributed to all affected customers via Update Instructions AX040/22/S. Affected systems will be updated to SW version VE10B.
|
Quantity in Commerce |
141 units US |
Distribution |
Worldwide - US Nationwide 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 = OWB and Original Applicant = SIEMENS MEDICAL SOLUTION USA, INC.
|