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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 FD20 BIPLANE
Medical Device Problem Code Positioning Failure (1158)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/10/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported to philips that the system was unable to perform geometry movements.No harm was reported to philips.Philips has started an investigation of this complaint.
 
Additional Manufacturer Narrative
Philips has investigated this complaint.The system was not clinically recognized at the time, and patient outcomes remain unclear due to insufficient information.A philips remote service engineer (rse) received a complaint indicating that system was unable to perform geometry movements.The work order has been cancelled due to an error, and a new one will be created.The device remains at the customer's site.The codes were updated based on the investigation outcome.Evaluation method code was corrected.
 
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Brand Name
ALLURA XPER FD
Common Device Name
SYSTEM, X-RAY, ANGIOGRAPHIC
Manufacturer (Section D)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
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NL  5684 PC
Manufacturer (Section G)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
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Manufacturer Contact
marjan vos
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NL   5684 PC
MDR Report Key23724819
Report Number3003768277-2025-015547
Device Sequence Number10629517
Product Code IZI
UDI-Device Identifier00884838059061
UDI-Public(01)00884838059061
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K130842
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 02/17/2026
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
Operator of Device Health Professional
Device Model NumberALLURA XPER FD20 BIPLANE
Device Catalogue Number722013
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/10/2025
Supplement Date Received by Manufacturer02/12/2026
Initial Report FDA Received Date12/05/2025
Supplement Report FDA Received Date02/17/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/04/2011
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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