| Brand Name | AZURION |
| Common Device Name | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM |
| Manufacturer (Section D) |
| PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
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| NL 5684 PC |
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| Manufacturer (Section G) |
| PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
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5684 PC
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| MDR Report Key | 24618100 |
| Report Number | 3042175844-2026-000215 |
| Device Sequence Number | 21292328 |
| Product Code |
OWB
|
| UDI-Device Identifier | 00884838116733 |
| UDI-Public | (01)00884838116733 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IN |
| PMA/510(K) Number | K200917 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
03/17/2026 |
| 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 Number | AZURION 3 M15 |
| Device Catalogue Number | 722230 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 02/27/2026 |
| Initial Report FDA Received Date | 03/17/2026 |
| Date Device Manufactured | 07/12/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |