Date Initiated by Firm | June 12, 2023 |
Date Posted | August 11, 2023 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-2395-2023 |
Recall Event ID |
92720 |
510(K)Number | K173356 K173451 K183063 K193215 K213516 |
Product Classification |
System, nuclear magnetic resonance imaging - Product Code LNH
|
Product | Ingenia Elition X Magnetic Resonance (MR) system, Product Numbers 781358, 782107, and 782118 (SmartPath to Ingenia Elition X) |
Code Information |
Product Number 781358:
UDI-DI: 00884838088115;
Serial Numbers: 45481
45476
45473
45470
45469
45467
45464
45463
45461
45459
45456
45451
45450
45448
45447
45446
45444
45443
45442
45441
45439
45438
45437
45435
45434
45432
45429
45428
45426
45423
45421
45419
45417
45416
45414
45412
45411
45410
45409
45408
45407
45406
45399
45398
45397
45396
45395
45394
45393
45392
45391
45390
45382
45381
45379
45378
45377
45376
45374
45372
45371
45370
45369
45368
45367
45364
45363
45362
45360
45359
45357
45356
45355
45354
45353
45352
45350
45349
45348
45345
45344
45343
45342
45340
45339
45338
45337
45335
45333
45332
45330
45328
45323
45322
45321
45320
45319
45317
45316
45315
45314
45313
45312
45311
45310
45309
45308
45307
45306
45305
45304
45303
45302
45300
45296
45295
45294
45293
45292
45290
45289
45284
45282
45281
45280
45279
45278
45277
45276
45274
45272
45269
45268
45267
45265
45264
45263
45262
45261
45260
45259
45257
45253
45252
45250
45249
45248
45247
45246
45245
45244
45243
45242
45241
45238
45237
45236
45235
45231
45229
45228
45227
45224
45222
45220
45219
45218
45217
45216
45215
45212
45211
45210
45207
45205
45204
45203
45197
45195
45194
45193
45192
45191
45190
45189
45188
45187
45186
45185
45184
45183
45181
45180
45179
45178
45177
45176
45174
45171
45170
45169
45168
45165
45164
45163
45162
45161
45160
45159
45158
45157
45156
45155
45154
45153
45152
45151
45150
45149
45148
45147
45146
45145
45144
45142
45141
45140
45139
45138
45137
45136
45134
45133
45132
45131
45129
45128
45127
45124
45123
45122
45121
45120
45119
45118
45116
45115
45114
45113
45112
45111
45109
45108
45107
45106
45105
45102
45100
45099
45098
45097
45096
45095
45094
45093
45092
45091
45090
45089
45088
45087
45086
45085
45084
45082
45081
45080
45079
45078
45077
45076
45075
45072
45071
45070
45068
45067
45066
45065
45064
45062
45061
45060
45058
45056
45055
45054
45053
45052
45051
45050
45049
45048
45047
45046
45045
45044
45043
45042
45041
45040
45039
45037
45036
45035
45034
45033
45032
45031
45030
45029
45028
45027
45026
45025
45024
45023
45011
45010
45009
45008
45001
45000
45002
45471
45073
45474
45480;
Product Number 782107:
UDI-DI: 00884838098336;
Serial Numbers: 62147
62120
62091
62083
62082
62081
62080
62073
62071
62070
62056
62041
62040
62039
62038
62033
62031
62030
62027
62023
62021
62017
62016
62012
62011
45600
45599
45596
45595
45594
45589
45583
45580
45578
45577
45574
45573
45572
45570
45568
45567
45566
45565
45564
45563
45562
45561
45560
45559
45556
45555
45554
45552
45550
45547
45546
45545
45544
45543
45542
45540
45538
45536
45534
45533
45532
45531
45530
45528
45525
45524
45523
45521
45520
45519
45518
45517
45516
45514
45511
45510
45509
45508
45507
45506
45504
45503
45501
45500
62019
62024
62037
62042
62046
62088
62044
62035
62108
62118
62124
62134
62154
62164
62188
62173
62026
62054
62063
62148
62186
62051
62052
62061
62066
62113
62103
62111
62126
62114;
Product Number 782118;
UDI-DI: 00884838099746
Serial Numbers: 85661
71060
42054
42085
42113
42306
42329
71019
71025
42167
42194
71050;
Product Number 782119:
UDI-DI: 00884838104129;
Serial Numbers: 66001
66002;
Product Number 782136:
UDI-DI: 00884838108608;
Serial Numbers: 28509;
Product Number 782151:
UDI-DI: N/A;
Serial Numbers: 26501;
|
Recalling Firm/ Manufacturer |
Philips North America 222 Jacobs St Cambridge MA 02141-2296
|
Manufacturer Reason for Recall | The system operator is able to bypass the SmokeDetector Interlock system locking mechanism after a smoke detection by power cycling the system. |
FDA Determined Cause 2 | Under Investigation by firm |
Action | An URGENT Medical Device Correction Notice dated 6/5/23 was sent to customers.
Actions that should be taken by the customer / user in order to prevent risks for patients or users:
4.1. Philips has installed a SmokeDetector Interlock feature on all the systems listed in Appendix A.
Post this notice near the affected MR system(s) for ease of reference.
Circulate this notice to all users of this device so that they are aware of the product issue
and associated hazard/harm until this issue has been resolved.
Please complete and return the attached updated customer response form to Philips
promptly and no later than 30 days from receipt of this letter. Philips is requesting that
even if you acknowledged a previous version of this letter that you also respond with an
acknowledgment to this updated letter.
4.2. The SmokeDetector Interlock feature is integrated with the MR System and powers off the relevant part of the system (Gradient Amplifier) when smoke is detected in order to prevent further development of smoke and/or fire. If the SmokeDetector Interlock has detected smoke and has powered off the Gradient Amplifier:
Remove patient from the system according to the instructions for use because power
to the tabletop will still be active
Scanning is disabled until Philips service has checked the system. Do not attempt to
continue scanning.
Immediately inform Philips Service
DO NOT attempt to restart or perform a power cycle of the system
4.3. If a user experiences smoke, fire, or severe image quality issues (image artifacts caused by electrical disturbances):
Immediately stop scanning and evacuate the patient from the Examination Room.
Check Examination Room for a developing fire.
If a developing fire is sensed, adhere to established fire emergency procedures, which
may include switching off power to the complete system and/or removing the magnet
field by using the Emergency Magnet Off button
Scanning is disabled until Philips service has checked t |
Quantity in Commerce | 640 total |
Distribution | US Nationwide. Global 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.
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510(K) Database | 510(K)s with Product Code = LNH 510(K)s with Product Code = LNH 510(K)s with Product Code = LNH
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