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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD; SYSTEM, X-RAY, ANGIOGRAPHIC

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PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD; SYSTEM, X-RAY, ANGIOGRAPHIC Back to Search Results
Model Number ALLURA XPER FD10
Device Problems Output Problem (3005); Data Problem (3196)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/01/2023
Event Type  malfunction  
Event Description
It has been reported to philips that the allura system displayed a free disk space error.The system was in clinical use when this occurred.There was no report of harm.Philips has started an investigation of this complaint.
 
Manufacturer Narrative
Philips has investigated this complaint.The philips field safety engineer (fse) inspected the system onsite and confirmed that the storage issue because of ippc hard disk.Review of system log files shows that the malfunctioning frontal ippc.The engineer recreated the image storage, and the system was returned to use in good working order.Later, the issue occurred twice, and hard disk has been replaced once and image storage has been recreated in the other occurrence.The codes were updated based on the investigation outcome.
 
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Brand Name
ALLURA XPER FD
Type of Device
SYSTEM, X-RAY, ANGIOGRAPHIC
Manufacturer (Section D)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
veenpluis 6
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NL  5684 PC
Manufacturer (Section G)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
veenpluis 6
best 5684 PC
NL   5684 PC
Manufacturer Contact
dusty leppert
3000 minuteman rd
andover, MA 01810
6172455900
MDR Report Key16982994
MDR Text Key315748935
Report Number3003768277-2023-03036
Device Sequence Number1
Product Code IZI
UDI-Device Identifier00884838059030
UDI-Public00884838059030
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
K130842
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberALLURA XPER FD10
Device Catalogue Number722010
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/01/2023
Initial Date FDA Received05/23/2023
Supplement Dates Manufacturer Received09/12/2023
Supplement Dates FDA Received09/25/2023
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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